CMS has provided clarification on the October 1, 2016 end of the one-year “trial period” for ICD-10. During the “trial period,” approximate (for instance, three digits instead of five) codes are not being audited. After October 1, 2016, all codes submitted must be fully specified. Details are provided at https://www.cms.gov/Medicare/Coding/ICD10/Clarifying-Questions-and-Answers-Related-to-the-July-6-2015-CMS-AMA-Joint-Announcement.pdf . More information on ICD-10 can be found at https://www.cms.gov/Medicare/Coding/ICD10/Frequently-Asked-Questions.html .
We’ve added the September edition of our provider newsletter Network 16 News to the Network website at
https://www.nwrn.org/providers-and-professional-staff/nw16n.html . This issues features information about the Network Annual Provider Meeting on October 25th at the Seattle Airport, a short article on the new QIP Heathcare Personnel Influenza Vaccination measure, and notes on ICD-10-CM and on reporting requirements for disruptions in delivery of care. The “Hot Dates” column includes the October 18 Mid-Columbia Nephrology Seminar, October 23 and November 11 CNSW Chapter Conferences, and the February 27-March 1 Annual Dialysis Conference. For more information on the Conferences, see our Facility Calendar at https://nwrnbulletins.wordpress.com/staff-education-calendar/ .
CMS has prepared a list of the ICD-10-CM codes that are recommended for use as Primary Causes of Renal Failure after October 1, 2015. Find the list at
- http://mycrownweb.org/wp-content/uploads/2015/09/ICD-10-CM-LIST-OF-PRIMARY-CAUSES-OF-END-STAGE-RENAL-DISEASE.pdf .
For more information see http://mycrownweb.org/icd-10-cm-code-list-with-primary-causes-of-renal-failure-now-available/ .
CMS officially transitions its use of the International Classification of Diseases (ICD) from ICD-9 to ICD-10 on October 1, 2015. For translating old codes to new ones, see the General Equivalent Mapping (GEMs) at http://www.cms.gov/Medicare/Coding/ICD10/2015-ICD-10-CM-and-GEMs.html . A downloadable copy of the new Medical Evidence Form 2728 can be found at mycrownweb.org/wp-content/uploads/2014/09/CMS-2728-U3-07-2014.pdf .
CMS has recently announced the following…
- The “ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Code Sets Educational Tool” (ICN 900943) has been revised and is now available in downloadable format. It provides education on the International Classification of Diseases, Ninth Edition, Clinical Modification (ICD-9-CM); ICD, Tenth Edition, Clinical Modification (ICD-10-CM); ICD, Tenth Edition, Procedure Coding System (ICD-10-PCS); Current Procedural Terminology (CPT); and Healthcare Common Procedure Coding System (HCPCS) code sets. It includes definitions and payment information for each code set.
- To help you prepare for the transition to ICD-10 on October 1, 2015, MLN Connects® videos are available on coding basics, testing, home health, and more:
- ICD-10 Coding Basics
- Coding for ICD-10-CM: More of the Basics
- Estimating the Impact of the Transition to ICD-10 on Medicare Inpatient Hospital Payments
- Medicare’s Testing Plan for ICD-10 Success
- Converting the Home Health Prospective Payment System Grouper to ICD-10-CM
- ICD-10: Implementation for Physicians, Partial Code Freeze, and MS-DRG Conversion Project
- The ICD-10 Medicare Fee-For-Service Provider Resources web page provides an exhaustive list of Medicare Learning Network® educational materials and related links.