ICD-10-CM resource center

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On Oct. 1, 2015, physicians were required to start reporting patient diagnoses and submitting claims using the ICD-10 code set. Physician practices, hospitals, Medicare, Medicaid, private payers, and clearinghouses are all required to use this code set.

Claims filed using ICD-9 will be denied as unprocessable. 

CMS' leniency policy expires Sept. 30, 2016. On Oct. 1, 2016, "providers will be required to code to accurately reflect the clinical documentation in as much specificity as possible, as per the required coding guidelines,” CMS said in the updated guidance. Medicare will not phase in the requirement to code to the highest level of specificity since providers should already be doing this. 


Browse the resources below to help you successfully transition to the ICD-10 coding system. 

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Free ICD-10 resources

CMS
Physicians can contact their Medicare Administrative Contractor (MAC) or monitor their website for information on problems with ICD-10. Also, you can email the ICD-10 ombudsman Dr. WIlliam Rodgers at ICD10_Ombudsman@cms.hhs.gov.

Medicaid
Check the state Medicaid website for information about ICD-10 implementation and contact information.

Commercial payers
Check payers' website for information about ICD-10 implementation and contact information.

Vendors
Any issues with practice management systems, EHRs, billing vendors, or clearinghouses should be directed to the company.