ICD-10 Compliance Timeline
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
December 31, 2011
• External testing of Version 5010 for electronic claims must be complete to achieve level II version 5010 compliance
January 1, 2012
• All electronic claims must use version 5010
• Version 4010 claims are no longer accepted
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 continue to be used for outpatient services
ICD-10
Modified: 11/25/2011
Find information regarding the transition to ICD-10-CM/PCS (clinical modification/procedural coding system) -- training, FAQs, and how to prepare for final implementation for all covered entities on October 1, 2013.
Modified: 1/25/2012
Upgrading to version 5010 is a critical step necessary for the ICD-10 transition, and it must be implemented before ICD-10 implementation is possible. There are numerous resources available to assist with the transition. [PERL 201201-40]
Modified: 1/20/2012
Video slideshow presentations from ICD-10 national provider calls, hosted by the Centers for Medicare & Medicaid Services (CMS) are available on the CMS YouTube channel to help you prepare for the health care industry's change from ICD-9 to ICD-10. [PERL 201201-32]
Modified: 1/5/2012
The Centers for Medicare & Medicaid Services has released a YouTube video slideshow presentation and podcasts from the November 17 national provider call on “ICD-10 Implementation Strategies and Planning.” [PERL 201201-07]
Modified: 12/12/2011
The Centers for Medicare & Medicaid Services has released a final rule that addresses medical loss ratio (MLR), which now includes provisions for ICD-10 conversion cost considerations. [PERL 201112-24]
ICD-10