ICD 10

ICD-10 Information for Leon Medical Centers Health Plans Providers

Did you know that in January 2009, the U.S. Department of Health and Human Services (HHS) published a final rule requiring the use of International Classification of Diseases version 10 (ICD-10) for diagnosis and hospital inpatient procedure coding? The rule impacts the health care industry – including health plans, hospitals, doctors and other health care professionals, as well as vendors and trading partners.

ICD-10 Compliance Date Delay

The U.S. Department of Health and Human Services (HHS) issued a rule on July 31, 2014 finalizing Oct. 1, 2015 as the new compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10, the tenth revision of the International Classification of Diseases. This deadline allows providers, insurance companies and others in the health care industry time to ramp up their operations to ensure their systems and business processes are ready to go on Oct. 1, 2015.

Previously, on April 1, 2014, the President signed the Protecting Access to Medicare Act of 2014 (the "Act"), which delayed the implementation of ICD-10 diagnosis and procedure codes. The Act prohibited the Secretary of Health and Human Services (HHS) from adopting ICD-10 code sets any earlier than October 1, 2015.

The full press release announcing 10/1/15 as the new compliance date can be found on the CMS website and read here:  CMS ICD-10 Compliance Date Press Release

In the Year Ahead
We will continue our transitional work on ICD-10.

We will continue to test with our trading partners, vendors and health care professionals that submit directly to Leon Medical Centers Health Plans.

We recommend that all health care professionals continue ICD-10 remediation and training efforts to ensure you are prepared to transition to ICD-10 on October 1, 2015. For example, we suggest:

  • If you use an electronic medical record, verify with your vendor that the system is ICD-10 compliant.
  • If you use a superbill form to document the patient visit, update the form to reflect both ICD-9 and ICD-10 diagnosis codes so you can become familiar with the ICD-10 equivalent.
  • Continue with ICD-10 coding and documentation training for your clinical staff and medical coders.
  • Focus on adding greater specificity to clinical documentation. In your clinical notes, indicate location or laterality, encounter type, acute versus chronic, degree of illness, and more.

We will be focusing our efforts on the ability to continue to accept ICD-9 codes, and will monitor developments and provide additional updates regarding our ICD-10 implementation plans as they are available.

Select the Leon Medical Centers Health Plans ICD-10 Frequently Asked Questions (FAQ) link for common questions and answers concerning how Leon Medical Centers Health Plans is handling the conversion from ICD-9 to ICD-10.

Select any of the links below for additional information on ICD-10:

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