General ICD-10 Information
International Classification of Diseases (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. ICD-9 code sets were outdated, didn’t reflect advances in medical technologies and weren’t descriptive enough.
ICD-10 Clinical Modifications (CM) and ICD-10 Procedure Coding Structure (PCS) are the latest medical code sets under HIPAA-AS and represent a fundamental overhaul to the former ICD-9 coding system. A federal mandate required all HIPAA-covered entities to adopt ICD-10 by Oct. 1, 2015.
The ICD-10 CM and PCS classification system has been 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.
Learn more about what has changed!
Get ICD-10 Compliant
- Small-Medium Physician Practices: Build your action plan and jump start your transition to ICD-10. View the training presentation here.
- Visit the CMS www.roadto10.org
- Large Physician Practices and Hospitals: Transition to ICD-10 now by accessing CMS’s ICD-10 Implementation Guides.
- Florida Blue ICD-10 Implementation Toolkit
Useful Links
- Medical Group Management Association (MGMA)
- AAPC
- Northeast Florida Medical Group Management Association (NFMGMA)
- Myths and Facts
- ICDLogic
- CMS ICD-10 Website
- Workgroup for Electronic Data Interchange
- American Medical Association
- AHIMA ICD-10 Website
- Center for Disease Control and Prevention’s ICD-10 Website
- Florida Medical Association
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