Phasing out the HIPAA ICD-9 and ushering in the HIPAA ICD-10 is a massive exercise required under the Protecting Access to Medicare Act of 2014. Hospitals and other healthcare providers have to get used to a set of codes that is different from what was being practiced for over three decades.
The HIPAA "ICD-10" is a medical codes set from HIPAA. It stands for the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). This term also includes another classification, the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS).
ICD-10-CM and ICD-10-PCS are quite different from each other. The ICD-10-CM diagnosis code will be replacing ICD-9-CM, Volumes 1 and 2. While ICD-10-CM will continue to be used to report diagnoses made in all clinical settings; ICD-10-PCS is a procedure code set that is set to replace the ICD-9-CM Volume 3. Hospital inpatient procedures are the only item to report which the ICD-10-PCS will be used.
The HIPAA ICD 9 will now be replaced by the HIPAA ICD-10 code set with effect from October 1, 2015. This transition is considered very elaborate, complex and expensive, as this is a gargantuan mandate that the federal government does not fund. The Department of Health and Human Services (HHS), which is to oversee the transition, extended the deadline for the date of phasing out into HIPAA ICD-10 by a year acknowledging the practical difficulties and costs associated with implementing a code set of such high proportion.
The ICD-9, which is the extant principle, has been around for three decades, necessitating changes into this code set.
Since the HIPAA ICD-10-PCS will only be used to report inpatient hospital procedures; it will continue to be used along with the Current Procedural Terminology(CPT), which deals with codes used for outpatients.
Transitioning to HIPAA ICD-10 is expected to have an effect on all physicians. A pan-US exercise of this scale requires major software or system upgrades or replacements, large-scale training and planning, apart from many other unavoidable investments. The factors that will make this complex include:
The costs for transitioning for just small firms are expected to be between $56,000 and $226,000.Click Here to Explore More