ICD-10

President signs bill into law to delay ICD-10 Implementation until 2015

On April 1, 2014, President Obama signed a bill into law which delays the mandated move from ICD-9 to ICD-10 code sets by one year.  The bill prohibits CMS from "enforcing" the ICD-10 mandate prior to Oct. 1, 2015.  
  
Florida Blue's ICD-10 initiative consists of a full remediation strategy and is proceeding on plan for completion this Oct 1, 2014.  We are continuing our provider testing and outreach efforts and  will be ready to accommodate ICD-10 according to the latest federal regulatory guidelines.  You can rest assured knowing Florida Blue is here to assist you in preparing for ICD-10 implementation.  


The International Classification of Diseases (ICD-10) Clinical Modifications (CM) and ICD-10 Procedure Coding Structure (PCS) are new medical code sets under HIPAA-AS and represent a fundamental overhaul to the current ICD-9 coding system.  A federal mandate requires all HIPAA covered entities adopt ICD-10 by a compliance date not to precede October 1, 2015.


ICD codes are used to codify medical diagnosis and procedures; calculate and adjudicate coverage; compile medical statistics; assess quality of care and help manage clinical quality outcomes for patients. The current ICD-9 codes sets are outdated & do not reflect advances in medical technologies nor are they descriptive enough.


The new ICD-10 CM and PCS classification system is being implemented to provide:

  • Improved patient care quality because of greater detail and an increased ability to accommodate new technologies and procedures.
  • Richer medical data with higher degrees of detail and quality for further analysis; helps to enrich clinical care profiles and patient outcomes.
  • Enhanced claim processing by requiring more detailed information in the diagnosis and procedure code assignments.
  • Increased interoperability across industry stakeholders worldwide by phasing out aging and inflexible technical systems.


Frequently Asked Questions

  • Click here for Florida Blue specific ICD-10 readiness FAQs.

  • What happens if I do not switch to ICD-10?

  • Where can I find your latest ICD-10 Provider Pulse Survey Results?

  • When is the ICD-10 compliance date?

  • If I transition early to ICD-10, will CMS be able to process my claims?

More ...


Useful Links



 

Podcasts