Per the CMS ICD-10 website:
On April 1, 2014, the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. No. 113-93) was enacted, which said that the Secretary may not adopt ICD-10 prior to October 1, 2015. Accordingly, the U.S. Department of Health and Human Services expects to release an interim final rule in the near future that will include a new compliance date that would require the use of ICD-10 beginning October 1, 2015. The rule will also require HIPAA covered entities to continue to use ICD-9-CM through September 30, 2015.
Until further notice, DPHHS will continue to accept ICD-9 codes and prepare for the required ICD-10 implementation currently proposed for October 1, 2015. Once we receive guidance from CMS of the official implementation date we will advise providers.
See the CMS ICD-10 website for more information.
- Montana Medicaid ICD-10 Readiness Survey IV
Take our ICD-10 Readiness IV Survey!
- ICD-10: A Quick Course for Non-Coders
Presented by author/ICD-10 expert Gail I. Smith, MA, RHIA, CCS-P
Designed for healthcare professionals who are not coders but who will use and depend on the data from the new coding system. For information and to register for this self-paced, online course, click Information and Registration.
Are You Ready for ICD-10 Diagnosis Coding?
Have you ever seen someone who was struck by a turtle? With the new ICD-10 codes you will have a code specifically for being stuck by a turtle:
Contact with turtles, struck by turtle, initial encounter
If you had provided services to someone who was struck by a turtle, under ICD-9 diagnosis coding, you would have billed:
Other specified injury caused by animal
ICD-10 is much more detailed than the ICD-9 codes that are currently in use.
There is a lot of information available regarding ICD-10, and this webpage will be a great source of information to help you keep up on the conversion to ICD-10 for Montana Medicaid. Additional links are in the ICD-10 Informational Links panel below.
Encourage your health care professionals to begin documenting their services in more detail now! This will result in a smoother transition for the provider when ICD-10 is implemented on October 1, 2014.
Effective October 1, 2014, all providers will be required under HIPAA to use and bill ICD-10 format codes. For dates of service on or after October 1, 2014, claims submitted with an ICD-9 code will be denied.
This is based on the date of service billed, not the date of claim submission. When billing, providers will need to ensure they use ICD-9 codes for services provided on and before September 30, 2014, and ICD-10 codes for services on and after October 1, 2014.
|Code Length||3–5 characters||3–7 characters|
|Number of Codes||Approximately 14,000 codes||Approximately 68,000 codes|
|Code Makeup||Digit 1 = alpha or numeric
Digit 2-5 = numeric
|Digit 1 = alpha
Digit 2 = numeric
Digit 3–7 = alpha or numeric
|Expandability (space for new codes)||Limited||Flexible|
|Code Detail||Vague||Very specific|
Striking against or struck accidentally by other stationary object without subsequent fall
Walked into lamppost, initial encounter
|Code Length||3–4 characters||7 alphanumeric characters; all are required|
|Number of Codes||Approximately 4,000 codes||Approximately 72,000 codes|
(space for new codes)
|Code Detail||Limited detail||More detail definitions on anatomy site, approach, device, and other information|
Low Cervical C-Section
Obstetrics, Pregnancy, Extraction, Products of Conception, Open Approach, No Device, Low Cervical
ICD-10 Implementation Success Initiative
To help your ICD-10 implementation efforts, the American Association of Professional Coders (AAPC), the Workgroup for Electronic Data Interchange (WEDI), and the Centers for Medicare and Medicaid Services (CMS) have developed an ICD-10 Implementation Success Initiative.
This initiative is comprised of a searchable public database of ICD-10 issues for submission, help prioritizing those issues, and a series of educational webinars and articles available as a resource to highlight prominent ICD-10 conversion issues and trends.
The searchable database is easy to use. Once you submit your issue, it is reviewed, and once approved, it is made available online. If you provide your name and contact information, WEDI will also follow up with you directly.
Understanding how the new codes and coding standards impact diagnosis and inpatient procedures is imperative to the transition to ICD-10. We encourage you to use this resource for your organization!
Several associations that are publishing information on ICD-10 coding. Below are links we believe you will find useful. The Department of Public Health and Human Services does not promote one organization/association over another.
- American Health Information Management Association (AHIMA)
- American Association of Professional Coders (AAPC)
- World Health Organization Electronic ICD-10 Training Tool
- Centers for Disease Control and Prevention
There are also many guides to implementation of the ICD-10. The Centers for Medicare and Medicaid Services (CMS) have published information that is helpful to all provider types and payers.
- CMS ICD-10 Implementation Guides
- CMS ICD-10 Information
- CMS Implementation Timelines
- ICD-10-CM Classification Enhancements
- How to Identify How ICD-10 Codes Will Affect Your Medical Practice
- Four Steps to Make ICD-10 Easier for Small Practices
- Road to 10: The Small Physician Practice's Route to ICD-10
Additional information about ICD-10 is available on these websites.
If you need help converting ICD-9 and ICD-10 codes, there are free conversion tools to assist you. These tools are only to assist you in code selection, not to directly code for you. Some clinical analysis may be required to choose the most accurate code.
- 06/12/2014 ICD-10 Delay
- 01/29/2014 Centers for Medicare and Medicaid Services (CMS) ICD-10 Provider Readiness Assessment Update
- 11/26/2013 ICD-10 Readiness