U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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International Classification of Diseases (ICD-10)  

ICD-10 and Version 5010 Compliance Timelines

According to CMS, everyone affected by the Version 5010 (Claim) and ICD-10 transitions - health care providers, payers, software vendors, and clearinghouses/third-party billers - needs to prepare to meet the following timetable to ensure compliance.

Date Compliance Step IHS Status
January 1, 2010
  • Payers and providers should begin internal testing of Version 5010 standards for electronic claims
Competing priorities delayed 5010 development 1/1/2011
December 31, 2010
  • Internal testing of Version 5010 must be complete to achieve Level I Version 5010 compliance
Internal testing began in 2011 and is ongoing
January 1, 2011
  • Payers and providers should begin external testing of Version 5010 for electronic claims
  • CMS begins accepting Version 5010 claims
  • Version 4010 claims continue to be accepted
CMS-IHS Fiscal Intermediaries (FIs) begins accepting Version 5010 claims
December 31, 2011
  • External testing of Version 5010 for electronic claims must be complete to achieve Level II Version 5010 compliance
External Testing began May 2011 and is ongoing.
January 1, 2012
  • All electronic claims must use Version 5010
  • Version 4010 claims are no longer accepted
IHS began February 2011 and will meet the January 1, 2012 deadline
October 1, 2013
  • Claims for services provided on or after this date must use ICD-10 codes for medical diagnosis and inpatient procedures
  • CPT codes will continue to be used for outpatient services
In November 2010, Steering Committee and Sub-groups established to address ICD-10 Implementation

IHS X12 Version 5010 Timelines

X-12 Phased Release Release Date Associated Activities
837P May 2011 837P & 837I Associated Activities
  • Perform a practice-wide 5010 impact assessment
  • Obtain vendors' plans for software updates and/or testing schedules
  • Identify key practice metrics to monitor pre- and post-implementation
  • Finalize plans to update software, practices processes and internal policies
837I October 2011 837P & 837I Associated Activities
  • Perform a practice-wide 5010 impact assessment
  • Obtain vendors' plans for software updates and/or testing schedules
  • Identify key practice metrics to monitor pre- and post-implementation
  • Finalize plans to update software, practices processes and internal policies
* The 837I & 837P does not include development for ICD-10.

X-12 Phased Release Release Date Associated Activities FY2012
837D October 2011 837D & 835 Associated Activities FY2012
  • Obtain vendors' plans for software updates and/or testing schedules
  • Identify key practice metrics to monitor pre- and post-implementation
  • Finalize plans to update software, practices processes and internal policies
835 November 2011 837D & 835 Associated Activities FY2012
  • Obtain vendors' plans for software updates and/or testing schedules
  • Identify key practice metrics to monitor pre- and post-implementation
  • Finalize plans to update software, practices processes and internal policies
* The 837D does not include development for ICD-10.

IHS NCPDP Version D.0 Timelines

CMS Compliance Dates IHS Dates IHS Implementation Status
January 1, 2010: Internal Testing April 2010 5.1 - D.0 GAP Analysis
January 1, 2010: Internal Testing October 2010 Planning
January 1, 2010: Internal Testing December 2010 Developer Analysis
January 1, 2010: Internal Testing February 2011 Development
December 31, 2010: Internal Testing March 2011 Alpha Testing
January 1, 2011: Internal Testing September 2011 D.0 Testing with Emdeon
December 31, 2011: External Testing October 2011 Beta Testing

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