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ICD-10

ICD-10 Conversion

The scope for ICD-10 remediation includes more than 100,000 new diagnosis and procedure codes which will enable greater specificity in service descriptions. The new codes are expected to meet the increased level of detail needed to recognize advancements in medicine and technology, and will bring the United States in line with non-U.S. practices. Concerns that the current ICD-9 terminology and classifications of some conditions are outdated and inadequate have been cited as the primary reasons for the conversion to ICD-10.

See our Fact Sheet  (PDF, 107 KB) for an overview on our ICD-10 conversion program. Read our Frequently Asked Questions for additional details.

HHS Adopts 1-Year Delay of ICD-10 Compliance Date – New Date 10/1/2014

On August 24, 2012 the Department of Health and Human Services (HHS) announced adoption of a 1 year delay of the ICD-10 compliance date, from Oct. 1, 2013 to Oct 1, 2014. We will maintain our current momentum on our ICD-10 program work, including remediation of our impacted systems and vendor tools, affected business processes and policies. Based on this announcement, we plan to be fully ready to process ICD-10 claims by 10/1/2014.

Press Release

The proposed rule

We strongly encourage you to continue working toward compliance and to use this one year extension to address any business or system challenges you may experience. We do not anticipate any additional delay in the compliance. It is important that providers contact their billing or software vendor to understand their plans for conversion and testing. We will conduct targeted ICD-10 testing in advance of the new compliance date and will contact directly those entities involved.

Going forward, we will continue to use this site to share detailed information about our approach to ICD-10. This is the most current source of information and will be updated throughout the next several years as work continues on this important project.

We will continue to follow HHS and CMS guidance and work closely with the medical community to monitor compliance and manage risk.