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ICD-10 Provider

The references and links below may not have been edited to include the
proposed implementation date change.

On Jan. 16, 2009, the U.S. Department of Health and Human Services (HHS) released a final rule mandating that everyone covered by the Health Insurance Portability and Accountability Act (HIPAA) must transition from ICD-9 code sets and adopt ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes.

ICD-9 codes will be replaced with ICD-10-CM diagnosis codes (used on all claims) and ICD-10-PCS procedure codes (used for inpatient facility claims only). This change does not affect Current Procedural Terminology (CPT®) coding for outpatient procedures. HHS issued a final rule mandating compliance with the new, ICD-10 code set by Oct. 1, 2014. For details, view the news release on the HHS website.

This information is only a general summary and is not intended to take the place of the written law or regulation. You are encouraged to review the specific statutes and regulations .

The Centers for Medicare & Medicaid Services (CMS) has many provider resources that you may use throughout the entire initiative. The Provider Resources page on the CMS website includes a number of implementation tools that support the transition to ICD-10, such as implementation handbooks designed specifically for the following audiences:

The Healthcare Information and Management Systems Society (HIMSS) collaborated with leading health care payers, providers, health information technology vendors and financial institutions to create the HIMSS ICD-10 Playbook . It is intended to be used as a reference for developing a project plan.

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Check this page often for updates and alerts throughout your implementation.

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