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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

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International Classification of Diseases (ICD-10)

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The International Classification of Diseases, 10th Revision, Clinical Modification ( ICD-10-CM) project fosters an alliance between Office of Information Technology (OIT), clinical, and business disciplines within the Indian Health Service/Tribal/Urban (I/T/U) community for the benefit of our patients.

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On October 1, 2015, everyone covered by the Health Insurance Portability and Accountability Act (HIPAA) will begin using the International Classification of Diseases, 10th revision, Clinical Modification (ICD-10-CM). These codes will replace the ICD-9-CM code set and must be used in all HIPAA electronic transactions. The transition to ICD-10-CM will not affect Current Procedure Terminology (CPT) coding for outpatient procedures and services.

To meet the October 1st deadline, the Office of Information Technology's 2014 ICD-10-CM Project will focus on the following:

  • Emphasize training for coders and providers
  • Convert RPMS software to ICD-10-CM code sets
  • Emphasize timely assessment of business associate, vendor and payer readiness
  • Encourage areas to address clinical documentation standards required to meet ICD-10-CM specificity
  • Complete visit back logs, (provider, coding and billing) prior to transition date
  • Plan for a possible decrease in coding productivity (retention, recruitment, and outsourcing)
  • Engage and recognize everyone who contributes to the successful transition to ICD-10-CM