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| ICD 10 Regs &
Press Release |
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HHS Proposes Adoption of
ICD-10 Code Sets and Updated Electronic Transaction Standards Proposed
Changes Would Improve Disease Tracking and Speed Transition to an
Electronic Health Care Environment.
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The Department of Health and
Human Services (HHS) today announced a long-awaited proposed regulation
that would replace the ICD-9-CM code sets now used to report health care
diagnoses and procedures with greatly expanded ICD-10 code sets,
effective October 1, 2011. In a separate proposed regulation, HHS has
proposed adopting the updated X12 standard, Version 5010, and the
National Council for Prescription Drug Programs standard, Version D.0,
for electronic transactions, such as health care claims. Version 5010 is
essential to use of the ICD-10 codes.
In 2000, under authority provided by the Health Insurance Portability
and Accountability Act of 1996 (HIPAA), the ICD-9-CM code sets were
adopted for use in the administrative transactions by both the public
and private sectors to report diagnoses and inpatient hospital
procedures. Covered entities required to use the ICD-9-CM code sets
include health plans, health care clearinghouses, and health care
providers who transmit any electronic health information in connection
with a transaction for which a standard has been adopted by HHS.
Developed almost 30 years ago, ICD-9 is now widely viewed as outdated
because of its limited ability to accommodate new procedures and
diagnoses. ICD-9 contains only 17,000 codes and is expected to start
running out of available codes next year. By contrast, the ICD-10 code
sets contain more than 155,000 codes and accommodate a host of new
diagnoses and procedures. The additional codes will help to enable the
implementation of electronic health records because they will provide
more detail in the electronic transactions.
Comments on the ICD-10 code sets proposed rule are due by 5:00pm Eastern
time on October 21, 2008.
Comments on the updated transaction standards proposed are due by 5:00pm
Eastern time on October 21, 2008.
Click here to view both regulations
Click here to read the HHS press release
Click here to read forthcoming Fact sheets describing both proposed
rules
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