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History of ICD-10


Health Care Industry Use of Coded Data
1979 World Health Organization (WHO) adopts ICD-9 and United States adopts ICD-9-CM (clinical modification with procedure codes) for use in hospitals
1983 Inpatient prospective payment system—DRG links code data with reimbursement
1988 Medicare Catastrophic Coverage Act requires physicians to report conditions using ICD-9-CM


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World Moves to Updated Classification System

1994 WHO adopts ICD-10
1995 United States draft of ICD-10-CM made available
United States poised to adopt ICD-10-CM to align with WHO and other countries


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Stop Action

1996 HIPAA (Heath Insurance Portability and Accountability Act) enacted:
  • Code set standards established under the Administrative Simplification provision of the Social Security Act
  • New code set adoption process falls under legislative controls


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Legislative Steps to ICD System Conversion

2003 National Committee for Vital and Health Statistics (NCVHS) voted to recommend that the secretary of Health and Human Services move forward to adopt ICD-10-CM and ICD-10-PCS under HIPAA standards
2008 August: Notice of proposed rule making (NPRM) published in the Federal Register with a proposed implementation date of October 1, 2011, and a 60-day public comment period
October: Analysis of public comments to NPRM
2009 HHS publishes final rule (CMS 0013F 45 CFR, parts 160, 162) in the Federal Register, adopting ICD-10-CM and ICD-10-PCS effective October 1, 2013, with implementation timeline for version 5010 electronic transactions and ICD-10: http://edocket.access.gpo.gov/2009/pdf/E9-740.pdf


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Effective Dates

2012 Version 5010 electronic billing process and format compliance on January 1, 2012 (except for small health plans; January 1, 2013)
2013 Implementation delayed one year
2014  

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