Countdown to ICD-10 Implementation Providers Need to Prepare for New Electronic Transaction Standards Policy Analysis
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Policy Analysis  |   November 01, 2010
Countdown to ICD-10 Implementation
Author Notes
  • Kate Romanow, director of health care regulatory advocacy, can be reached at kromanow@asha.org.
    Kate Romanow, director of health care regulatory advocacy, can be reached at kromanow@asha.org.×
Article Information
Regulatory, Legislative & Advocacy / Policy Analysis
Policy Analysis   |   November 01, 2010
Countdown to ICD-10 Implementation
The ASHA Leader, November 2010, Vol. 15, 3. doi:10.1044/leader.PA3.15142010.3
The ASHA Leader, November 2010, Vol. 15, 3. doi:10.1044/leader.PA3.15142010.3
Speech-language pathologists and audiologists may want to update their electronic transaction standards in preparation for the Oct. 1, 2013, implementation of the International Classification of Diseases, 10th Revision (ICD-10).
Although the implementation of the new ICD-10 code sets is almost three years away, providers need to take several steps to be ready for the change.
The new ICD-10 will include the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) and the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS). They will replace the current ICD-9-CM, Volumes 1, 2, and 3, now used by speech-language pathologists, audiologists, physicians, and other professionals to report health care diagnoses, disorders, and inpatient hospital procedures. The ICD-10-CM will include diagnosis codes; the ICD-10-PCS will include inpatient hospital procedure codes.
As a first step, providers can prepare for the updated version of the Health Insurance Portability and Accountability Act (HIPAA) electronic transactions standards. The ICD-10-CM will have many more codes, and the current standards Version 4010 cannot accommodate them all. Therefore, the new Version 5010 must be implemented before ICD-10 is implemented. Version 5010 will require use of ICD-10 codes for claims, remission advice, eligibility inquiries, referral authorizations, and other transactions. The new standards are part of the Electronic Data Interchange rule.
The three stages of compliance for Version 5010 are:
  • Level I: The covered entity has done internal testing of Version 5010. Deadline: Dec. 31, 2010.

  • Level II: A covered entity has completed external testing or “end-to-end testing with each of its trading partners, and is able to operate in production mode with the new versions of the standards.” Deadline: Dec. 31, 2011.

  • Level III: Full compliance. Deadline: Jan. 1, 2012.

Further information is available at the Center for Medicare and Medicaid’s website and at ASHA’s website. Implementation guides are available online from ASCx12 and Washington Publishing Company. The Centers for Medicare and Medicaid Services (CMS) also has an informative brochure [PDF, 1.2MB].
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November 2010
Volume 15, Issue 14