ICD-10 FAQs

Q: What is ICD?

ICD stands for International Classification of Diseases. Developed by World Health Organization, it provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or disease. Under this system, every health condition can be assigned to a unique category and given a code.



Q: What is ICD-10? Why is the code set changing from ICD-9 to ICD-10?

International Classification of Disease: ICD-10 was endorsed by the forty-third World Health Assembly in May 1990 and came into use in WHO Member States as from 1994; the classification is the latest in ICD series. ICD-10 is the 10th revision in the ICD series. Work on ICD-10 began in 1983 and completed in 1992. ICD-9 was developed in the 1970s, after 30 years the system is running out of codes and through the system structure - ICD-9 will not be able to hold more codes much longer.



Q: What is the official implementation date for ICD-10?

October 1, 2015



Q: Will there be a transition period to submit ICD-9 and ICD-10?

No, there has been no indication that practices will have any grace time.



Q: There are two parts to ICD-10, will physicians use both of them?

No, physicians will only use ICD-10-CM. The other part is ICD-10-PCS which is the procedural coding system section for hospitals to report the resources used to treat hospital inpatient cases.



Q: Will coders need to be re-trained to use ICD-10?

Yes. The structure of codes ICD-10 transition presents a good opportunity for people looking for a career change or advancement. Coders will not have to be recertified to keep their current credentials but will have to take and pass an ICD-10 aptitude test to confirm their ability to properly use the new code set with accuracy.



Q: Why do I have to prepare now?

The time is now to prepare for migration from ICD-9 to ICD–10, as it will not be without challenges, that is the reason information, education and advance planning are critical to success. The process of implementing ICD-10 is not only complex but it will affect every aspect of the medical practice and reimbursement. If you start your planning process now, issues can be identified and resolved early on, making the final transition stress free and successful. Many industry experts are emphasizing on the early preparation. However, there are still a number of industry experts that are advising everybody to go slow on ICD-10 training for everybody except perhaps themselves. If you delay your training, probably you are going to end up not only paying more later but also be vulnerable to transition problems. So the adage "earlier the better" holds good for ICD-10 preparation as well. Huge difference between ICD-9 to ICD-10 codes can be easy understood only if you start your training in advance and in a methodic manner.



Q: How will the transition to ICD-10 codes affect healthcare IT?

The ICD-10 implementation process also requires a transition to version 5010 of the electronic health standards for Health Insurance Portability and Accountability Act (HIPAA) transactions. This transition is necessary because version 4010 of the standards originally named in HIPAA, which was passed in 1996, are outdated and cannot accommodate ICD-10.



Q: What is Version 5010, and how is it related to ICD-10?

Along with the ICD-10 implementation, CMS is mandating a transition, effective Jan. 1, 2012, to version 5010 of electronic transaction standards under HIPAA. This transition is necessary because version 4010 of the standards originally named in HIPAA, which was passed in 1996, are outdated and cannot accommodate ICD-10.
variety of applications are available.



Q: What are the different applications available for mapping ICD-10 codes?

CMS has embarked on a project to convert Medicare severity diagnosis-related groups (MS-DRG) to ICD-10 codes and also offers tools called General Equivalence Mappings or GEMs for clinical modification and procedure coding systems.
ICD-10 Coders Academy has already unveiled ICD-10 Mapper and I10 Coder for its members. All members can access ICD-10 Mapper whereas Working Members can access I10 Coder too. ICD-10 Coders Academy also offers free software development kits for helping organization build their own ICD-10 coding tools.
Many healthcare IT vendors have started to roll out ICD-10 applications for ICD-9 to ICD-10 lookup and conversion also.



Q: Who needs education on ICD-10-CM & ICD-10-PCS?

All the people associated with the Healthcare need to undergo education in ICD-10.

  • Medical Coding And Billing Professional
  • Clinicians
  • Health information management staff
  • Information Technology and Information Systems Personnel
  • Data Analyst
  • Hospice Professionals
  • Quality Management Staff
  • Patient Access And Registration Staff
  • Nurses
  • Physicians
  • Accounting Professionals.
  • Auditors and Consultants
  • Clinical Department Managers
  • Nursing Facility Professionals
  • Allied Health care professionals