Can the new the International Classification of Diseases, Tenth Revision (ICD-10) codes be submitted once Medicare implements the new version 5010 transactions?
Until the business rules for the International Classification of Diseases, Tenth Revision (ICD-10) codes are implemented, Medicare will reject ICD-10 code set values if they are submitted on version 5010 EDI claims. The Health Insurance Portability and Accountability Act (HIPAA) 5010 project is a pre-requisite for the ICD-10 project. Implementation of the ICD-10 is a separate project. The 5010 format allows International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9) and/or ICD-10 Clinical Modification (CM) & Procedure Coding System (PCS) code set values in the transaction standard but the business rules for using ICD-10 code set values will be defined with the ICD-10 project at a later date.
Related Questions
- Since the World Health Organization (WHO) is already working on International Classification of Diseases, 11th Edition (ICD-11), why would we not just implement ICD-11 instead of ICD-10?
- What is the difference between International Classification of Diseases, 10th Edition (ICD-10) and ICD-10-Clinical Modification (ICD-10-CM)?
- Can the new ICD-10 codes be submitted once Medicare implements the new version 5010 transactions?
