Friday, October 3, 2014

ICD-10 Updates

Dianne De La Mare

The US Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS) is sponsoring a conference call with CMS subject matter experts to discuss ICD-10 implementation, opportunities for testing and other resources on Wednesday, November 5, 2014 from 1:30-3:00PM, ET. The agenda includes discussion of: 1) HHS’ rule finalizing Oct. 1, 2015, as the new compliance date for ICD-10 for all health providers; 2) Medicare Fee-for-Service (FFS) testing; 3) Medicare Severity Diagnosis Related Grouper (MS-DRG) Conversion Project; 4) Partial code freeze and annual code updates; 5) Plans for National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs); 6) Home health conversions; and 7) Claims that span the implementation date. To register go to

CMS also has just made available the 2015 ICD-10-CM Official Guidelines for Coding and Reporting on the 2015 ICD-10-CM and GEMs web page and also on the Centers for Disease Control and Prevention website. Note that within the report text the: 1) narrative changes appear in bold text; 2) items underlined have been moved within the guidelines since the FY 2014 version; and 3) italics are used to indicate revisions to heading changes. To review the complete document go to

Lastly, during the week of January 26-30, 2015, a sample group of providers will have the opportunity to participate in ICD-10 end-to-end testing with Medicare Administrative Contractors (MACs) and the Common Electronic Data Interchange (CEDI) contractor. The goal of end-to-end testing is to demonstrate that: 1) providers and submitters are able to successfully submit claims containing ICD-10 codes to the Medicare FFS claims systems; 2) CMS software changes made to support ICD-10 result in appropriately adjudicated claims; and 3) Accurate remittance advices are produced. Approximately 850 volunteer submitters will be selected to participate in the January end-to-end testing. To volunteer as a testing submitter you had to complete forms available on your MAC website by October 3, 2014. Testers will be notified by both the MAC and CEDI that they were selected by October 24, 2014.

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