ICD-10 Transition Resources

CHAMPS has developed this online listing of resources to assist Region VIII health centers with the transition from ICD-9 to ICD-10.  Please contact the CHAMPS Clinical Quality Improvement Director if you have any questions about these materials or would like to share other useful resources you have found.

Please click or scroll down for:
Brief Description and History of ICD-10
Why the U.S. Converted to ICD-10
Differences Between ICD-9 and ICD-10
When the ICD-10 Transition Happened 
Resources for Completing a Successful ICD-10 Transition Plan
Articles on ICD-10 Transition
ICD-10 Consultants and Training Tools
Helpful ICD-10 Links

BRIEF DESCRIPTION AND HISTORY OF ICD-10

The International Classification of Diseases (ICD) is the standard diagnostic tool for epidemiology, health management, and clinical purposes under the World Health Organization (WHO). It is used to classify diseases and other health problems recorded on many types of health and vital records.  These records provide the basis for compilation of national and international mortality and morbidity statistics by WHO Member States.

ICD, Tenth Edition (ICD-10) was endorsed by the Forty-third World Health Assembly in May 1990 and has come into use by WHO Member States from 1994 on.  In August 2014, the U.S. Department of Health and Human Services (HHS)  required the transition from ICD-9 to ICD-10 to go into effect on October 1, 2015.

See the following webpages for more background and descriptions of ICD-10:

Centers for Disease Control and Prevention, International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)
www.cdc.gov/nchs/icd/icd10cm.htm

World Health Organization, International Classification of Diseases (ICD)
www.who.int/classifications/icd/en/

WHY THE U.S. CONVERTED TO ICD-10

ICD-9 has been used in the U.S. for the past 30 years and employs some terms which are outdated and no longer consistent with current medical practice.  ICD-10 has expanded the content, scope and purpose of the system.  Transitioning to ICD-10 was intended to streamline health care reimbursement, and reduce the need for clarifying documentation.

DIFFERENCES BETWEEN ICD-9 AND ICD-10

The ICD-10 code sets have fundamental changes in structure and concept that make them different from ICD-9.   There were many issues with ICD-9, such as missing current terminology and lack of diagnostic details, which are now addressed in ICD-10.  See the following document for information on differences between ICD-10 and ICD-9:

Department of Health and Human Services, CMS, Medicare Learning Network
ICD-10-CM/PCS, the Next Generation of Coding
www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD-10Overview.pdf

WHEN THE ICD-10 TRANSITION HAPPENED

On January 16, 2009, HHS released a final rule mandating that everyone covered by the Health Insurance Portability and Accountability Act (HIPAA) must implement ICD-10 for medical coding.  The initial implementation date was set for October 1, 2013, but the date was changed to October 1, 2014 by ruling issued on August 24, 2012.  In April 2014, the Protecting Access to Medicare Act of 2014 was signed which included a provision to extend the deadline for ICD-10 implementation by at least one year.  In August 2014, HHS released a final rule stipulating October 1, 2015 as the new mandatory date to transition to ICD-10.  The rule also stipulated that ICD-9 was to be used through September 30, 2015.

RESOURCES FOR COMPLETING A SUCCESSFUL ICD-10 TRANSITION

Early planning and preparation is the key to a smooth transition to ICD-10.  Health care practices that planned well for the Version 5010 upgrade transitioned smoothly.  Health care practices should have already transitioned to ICD-10 as of October 1, 2015.

Learn more about the ICD-10 transition by visiting the CMS ICD-10 webpage at www.cms.gov/Medicare/Coding/ICD10/

In addition, the CMS Road to 10 offers resources with free tools like a customizable action plan, common codes, primers for documentation, and clinical scenarios for various specialties including family practice, pediatrics, OB/GYN, and more.

View free CMS Road to 10 webcasts, specific to five different specialties, that focus on unique ICD-10 clinical documentation needs and hot topics, including a presentation for Family Practice and Internal Medicine, at http://www.roadto10.org/?page_id=3504.

Sign up for CMS ICD-10 Industry Email Updates at www.cms.gov/Medicare/Coding/ICD10/CMS_ICD-10_Industry_Email_Updates.html

See the CMS Provider Resources at http://cms.gov/Medicare/Coding/ICD10/ProviderResources.html including FAQs, Talking to Vendors, Basics for Small and Rural Practices, Implementation Guides, Timelines, Checklists, and more

Following is a listing of other resources to assist with ICD-10 transition implementation:

American Academy of Family Physicians (AAFP)
ICD-10 Timeline and Cost Calculator Spreadsheets
www.aafp.org/online/en/home/practicemgt/codingresources/icd10cm.html

Georgia Department of Community Health
ICD-10 Webinar Series
http://dch.georgia.gov/it-events

Government Health IT
How to Create an ICD-10 Training Plan

ARTICLES ON ICD-10 TRANSITION

(listed in order by date)

Carl Natale, ICD10 Watch, May 21, 2014
ICD-10: What if it Stood for ‘Improve Clinical Documentation?’
http://www.icd10watch.com/blog/icd-10-what-if-it-stood-improve-clinical-documentation

Carl Natale, ICD10 Watch, May 14, 2014
What you Need to Know to Start Your ICD-10 Planning
http://www.icd10watch.com/blog/what-you-need-know-start-your-icd-10-planning

Jennifer Bresnick, EHR Intelligence, April 14, 2014
ICD-10 Delay is Frustrating But Also an Opportunity
http://ehrintelligence.com/2014/04/14/wedi-icd-10-delay-is-frustrating-but-also-an-opportunity/

Jennifer Bresnick, EHR Intelligence, April 7, 2014
Should Physicians Use the ICD-10 Delay to Learn How to Code?
http://ehrintelligence.com/2014/04/07/should-physicians-use-the-icd-10-delay-to-learn-how-to-code/

Cynthia L. Stewart, HC Pro-Just Coding, June 4, 2013
Learn the Foreign Language of ICD-10-PCS
http://justcoding.com/292893/learn-the-foreign-language-of-icd10pcs

HC Pro-Just Coding, May 14, 2013
GEMS A Useful Addition to ICD-10 Transition Tool Kit
http://justcoding.com/292169/gems-a-useful-addition-to-icd10cm-transition-tool-kit

Shelley C. Safian, PhD, HC Pro-Just Coding, April 30, 2013
Understand Anatomy to Transition Reporting Hypertension from ICD-9-CM to ICD-10-CM
http://justcoding.com/291677/understand-anatomy-to-transition-reporting-hypertension-from-icd9cm-to-icd10cm

HC Pro-Just Coding, March 5, 2013
Don’t Underestimate ICD-10-CM Training Time
http://justcoding.com/289810/dont-underestimate-icd10cm-training-time

Thomas Ormandroyd, ICD-10 Monitor, January 8, 2013
Dispelling Some Myths about ICD-10
https://www.icd10monitor.com/dispelling-some-myths-about-icd-10

Carol Spencer and Mike Younkman, ICD-10 Monitor, January 8, 2013
Code Set Competency: Six Steps to a Successful Transition to ICD-10 – Pt. 1
https://www.icd10monitor.com/code-set-competency-six-steps-to-a-successful-transition-to-icd-10-pt-1

Dianne Haas, HIT Consultant, January 4, 2013
Best Practices for C-Suite to Manage Both ICD-10 and Meaningful Use
www.hitconsultant.net/2013/01/04/best-practices-for-c-suite-to-manage-both-icd-10-and-meaningful-use-2/

ICD-10 CONSULTANTS AND TRAINING TOOLS

Please note, CHAMPS does not endorse any of the following consultation services. The following list of ICD-10 consultants and various training tools is not an exhaustive list but rather includes organizations, trainings, and tools that CHAMPS has learned are being used by various health centers throughout the nation.  You will find more consultants listed under the Helpful Links section below, but there are no doubt many other consultants and training programs that we are unaware of.  If you utilize a specific consultant or training program that you would recommend to other health centers, please contact the CHAMPS Clinical Programs Director and we will be happy to add that information to this site.

American Academy of Professional Coders (AAPC)
ICD-10 Implementation Services
www.aapc.com/icd-10/index.aspx
Services including training for coders, ICD-10-CM anatomy and pathophysiology courses, physician and office/clinic staff resources, news, discussions, and ICD-10 implementation boot camps

American Health Information Management Association (AHIMA)
ICD-10 Resources and Services
www.ahima.org/icd10/
Resources including courses for coders, and ICD-10 Newsletter, expert ICD-10 trainers, and news

AthenaHealth
ICD-10: Preparing Your Practice for the Big Changeover  (White Paper)
Practice management, EHR, and care coordination services including the webinar and white paper listed above

ICD10Watch
News Source for ICD-10 Developments
www.icd10watch.com
From the editors of Healthcare IT News and Healthcare Finance News, ICD10Watch tracks the latest trends and developments during the ICD-10 transition process including an e-newsletter

Optum Coding
ICD-10 Solutions
www.optumcoding.com/NonProd/5132/
ICD-10 transition resources including the 13th Annual conference December 2-5, 2013, books, and trainings

Priority Management Group, Inc. (PMG)
Consulting and Training Services
www.gopmg.com
Offers a range of services to prepare for ICD-10 transition, specializing in services for community health centers, including a CHC Forum, CHC Billing White Papers, CHC Billing Community News, and various training and implementation services

RT Welter & Associates, Inc.
Consulting and Training Services
http://rtwelter.com/
ICD-10 transition resources including face-to-face trainings and consultation

HELPFUL ICD-10 LINKS

American Academy of Professional Coders (AAPC)
www.aapc.com

American Health Information Management Association (AHIMA)
www.ahima.org/icd10/

AthenaHealth
www.athenahealth.com/ICD-10/ICD-10-guarantee.php

BKD CPAs and Advisors
www.bkd.com/webinars/2013/the-five-ws-of-icd-10-training-how.htm

Centers for Disease Control and Prevention (CDC)
www.cdc.gov/nchs/icd/icd10.htm

Centers for Medicare and Medicaid Services (CMS)
www.cms.gov/Medicare/Coding/ICD10/

Complete Practice Resource, Inc.
http://completepracticeresource.com/About.html

ICD10Watch
www.icd10watch.com

Medicare Learning Network
www.cms.gov

Meditab
www.meditab.com

MGMA-ACMPE
www.mgma.com/policy/default.aspx?id=39681

Optum Coding
www.optumcoding.com/NonProd/5132/

Priority Management Group, Inc. (PMG)
www.gopmg.com

World Health Organization (WHO)
www.who.int/classifications/icd/en/

3M Health Information Systems
http://solutions.3m.com/wps/portal/3M/en_US/Health-Information-Systems/