If you have not already done so, you should take the following steps as soon as possible: By now, you should have a steering committee in place or have devised a communication schedule involving everyone in your practice who will play a role in implementing the new coding system. The new codes will be structurally different from the ICD-9 codes (Table 1 and Table 2). Once ICD-10-CM goes into effect, any transactions that are not compliant with HIPAA (ie, not using ANSI v5010) will be rejected. ANSI v5010 replaced the electronic transaction standards ANSI v4010/v4010A. You may recall that the implementation of a new generation of the 9 electronic standards for the Health Insurance Portability and Accountability Act (HIPAA), known as the American National Standards Institute (ANSI) Version 5010 (v5010), is a part of this process. The shift from International Classificatin of Diseases, Ninth Revision (ICD-9) involves serious challenges, including transitioning from a system of 13,000 codes to a system of more than 68,000 codes in ICD-10-CM. If you are behind schedule, you need to work hard now to catch up. Your practice should already have completed the impact assessment. The timeline for implementing the code sets is divided into 4 phases: Phase 1: Impact Assessment, first quarter 2009 through second quarter 2012 Phase 2: Preparing for Implementation, first quarter 2012 through second quarter 2014 Phase 3: Go Live Preparation, first quarter 2013 through third quarter 2014 and Phase 4: Post Implementation, fourth quarter 2014 through fourth quarter 2015. The reprieve, although welcome to many, is less than 17 months away, during which several phases of implementation must be completed. On October 1, 2014, the United States will adopt the International Classification of Disease, Tenth Revision, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS), 1 year later than we had initially reported in Urology Practice Management in September 2012.
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