ICD-10

CMS published the original rule on January 16, 2009 - HIPAA Administrative Simplification: Modifications to Medical Data Code Set Standards to Adopt ICD-10-CM and ICD-10-PCS. The rule was revised and a final rule was posted August 24, 2012 that requires all HIPAA covered entities to adopt the ICD-10 code sets which replaces the ICD-9 code sets with a compliance date of October 1, 2014 - Administrative Simplification: Change to the Compliance Date for the International Classification of Diseases, 10th Edition (ICD–10–CM and ICD–10–PCS) Medical Data Code Sets.

ICD-10 code sets contain greater clinical detail and specificity which supports the collection of improved clinical information. The number of diagnosis/procedure codes is greatly expanded (from about 17,000 to over 150,000 codes). ICD-10 will provide a number of advantages such as:

Providers and other trading partners must fully understand where and how ICD-9 codes are used within their organizations so the new ICD-10 code sets can be implemented properly within their business and billing practices.

As NC DHHS OMMISS ICD-10 project implementation activities progress for NCTracks, we will keep our trading partners informed and assist in providing meaningful resources to ensure implementation by the compliance date.


NC DHHS ICD-10 Implementation Project

OMMISS – in cooperation with the Division of Medical Assistance (DMA), the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services (DMHDDSAS) and the Division of Public Health (DPH) – is currently working to identify where ICD codes are used within DHHS policies processes and systems. We are identifying the work effort required to transition to ICD-10 as well as the tasks necessary to remediate the replacement MMIS NCTracks. Below is an overview of our implementation timeline and activities:

Phase 1 - 4th Qtr 2011 - 2nd Qtr 2012:

  • Historical claim and data analysis
  • Conduct Mapping (ICD-9 to ICD-10 using GEMS) Activities
  • Create Project Plan for ICD-10 Phase 2 and Phase 3 Activities

Phase 2 – 2nd Qtr 2012 – 3rd Qtr 2013:

  • Remediate policies, business rules, edits and audits, and reports
  • Remediate business process manuals
  • Implement Communication Plan Activities

Phase 3 – 2nd Qtr 2013 – 2nd Qtr 2014:

  • Develop Technical Design for NCTracks Remediation
  • Remediate NCTracks including revised audits/edits/reports
  • Perform Internal Testing

Phase 4 – 3rd Qtr 2013 – 3rd Qtr 2014:

  • Perform Internal and External Training
  • Perform External Testing

If you have questions related to the NC DHHS implementation project, please send an email to OMMISS.ICD10@dhhs.nc.gov


ICD-10 Helpful Links

The following links take you to documents and websites that offer ICD-10 training and educational opportunities:

http://www.cms.gov/ICD10/ This website provides resources and timelines to assist providers, payers and vendors with the U.S. health care industry’s transition to ICD-10.

http://www.cms.gov/ICD10/Downloads/ICD10FAQs.pdf. ICD-10 Compliance Fact Sheet or FAQs

http://www.nchica.org/HIPAAResources/icd10.htm. This website provides resources developed by the North Carolina Healthcare Information and Communications Alliance, Inc. (NCHICA) to assist with ICD-10 implementation efforts

http://wedi.org/public/articles/dis_viewArticle.cfm?ID=904. This service offered by the Workgroup for Electronic Data Interchange (WEDI) connects the healthcare community with vendors providing ICD-10 implementation and training services.

http://www.ahima.org/icd10/. This series of links takes you to training from the American Health Information Management Association (AHIMA).

http://www.himss.org/ASP/topics_FocusDynamic.asp?faid=473. This website offered by the Health Information and Management Systems (HIMSS) provides information on system remediation plan development, ICD-10 testing, software tools, how to select vendor partners, staff training plan, change management, communications and education plan as well as the Go Live plan.

http://apps.who.int/classifications/apps/icd/icd10training/. This website offers self-directed training for various users of the ICD-10 codes.

http://edocket.access.gpo.gov/2009/pdf/E9-743.pdf. This legislation governs the implementation of ICD-10.

Note: The previous information is published by entities other than the NC DHHS. The State of North Carolina, its agencies, and agents are not responsible for the content.


Communication Archive

Welcome to the ICD-10 Communications resource page. On this page you will find links to articles and tool kits, which include fact sheets, brochures and posters to support ICD-10 compliance activities.

Articles

NCTracks RAMP UP to ICD-10 Research
NCTracks RAMP UP to ICD-10 Introduction
NCTracks Connections July-August 2012

Tool Kits

Have you ever experienced W21.05XA or W21.05XD?
Have you ever experienced a broken heart?
Have you ever experienced Y92.330?
Have you ever experienced W22.02XD?
Have you ever experienced W21.01XA?
Have you ever been W5922XD?
Have you ever experienced R46.1?
Have you ever experienced T78.04XA?
Have you ever experienced R46.0?
ICD-10 Countdown
ICD-10 to ICD-9 Procedure Code
ICD-10 to ICD-9 Diagnosis Code
HHS Release CMS HPID Admin

ICD-10 listserv

If you would like to be added to the ICD-10 listserv, please enter your information below.