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ICD-10

While diagnosis coding to the correct level of specificity is the goal for all claims, for 12 months after ICD-10 implementation, Medicare review contractors did not deny physician or other practitioner claims billed under the Part B physician fee schedule through either automated medical review or complex medical record review based solely on the specificity of the ICD-10 diagnosis code as long as the physician/practitioner used a valid code from the right family.

Beginning on October 1, 2016, the one-year contingency period during which clinicians were not penalized for billing non-specific codes (when a more specific code is available) will end. Claims must now include ICD-10-CM codes to the highest level of specificity possible based on documentation.

ICD-10 in Your Practice

Tools and resources to help implement ICD-10-CM in practice.

 

ICD-10-CM Training

Where to find high-quality, low or no-cost training for clinicians and staff.

  • Post-Implementation: Coding Basics Revisited - This video explains what is a valid code, guidelines for reporting, and more. (33 minutes)
  • ICD-10 Coding Basics - This free video from CMS provides a basic introduction to ICD-10 coding, including comparing ICD10 to ICD9, structure, how to use the new system, and examples. (26 minutes).
  • Documentation Concepts for IM/FP - This free video provides training focused on unique aspects of ICD-10 for internal medicine and family practice. Examples include the documentation requirements for several common conditions, documentation changes and new concepts, and the use of "unspecified" codes in ICD-10 (45 minutes)
  • CMS Videos - These short videos explain key ICD10 concepts
  • CMS Podcasts - CMS participates in the ICD-10 Monitor's Talk Ten Tuesday podcasts
  • Road to 10: A free one-stop source for all things ICD-10 from CMS.

There are many organizations that offer training in a wide variety of formats for a wide variety of prices. The following organizations offer high quality training for reasonable prices.

ICD-10 Resources by Source

The following entities provide excellent ICD-10-CM and PCS coding resources, some of which is included above, for all types of organizations and all types of personnel, much of which is available for free and some for a fee.

Understanding ICD-10

Resources for the what, why, and how of using ICD-10 code sets.