On January 16, 2009, the U.S. Department of Health and Human Services (DHHS) released a final rule (45 CFR Parts 160 and 162) which mandates the transition from ICD-9 to the more specific ICD-10 Clinical Modification (CM) and Procedure Coding System (PCS) code sets. Currently, International Classification of Diseases, 9th Revision (ICD-9) is the HIPAA-mandated code set for coding diseases, injuries, impairments, other health problems, and health care encounters. The conversion to ICD-10 will take place on October 1, 2013.
Due to the enhanced specificity and level of detail of the ICD-10 code set, the transition is anticipated to have a significant impact on Medi-Cal, health plans, health care providers, and trading partners. ICD-10 CM and ICD-10 PCS codes will improve the ability to:
- govern reimbursement
- monitor health of the population
- track trends in disease and treatment
- optimize health care delivery
The Centers for Medicare and Medicaid Services (CMS) has a wealth of information which can be found at: www.cms.hhs.gov/ICD10/. The Workgroup for Electronic Data Interchange (WEDI) has information available at www.wedi.org.