Central California Alliance For Health

 

ICD-10 Information

Disclaimer: The Alliance is not affiliated with the external organizations listed below. Information on these pages is maintained by external entities and the Alliance is not responsible for their content.

• ICD-10-CM Search

Powerful medical coding search engine that allows you to look up ICD-10 codes. Provides an extensive code browser where ICD-10-CM codes are arranged in a tree-like menu fashion based on their chapters and sub-chapters.


• Find-A-Code

Simple search for Medical and health care billing codes online. Current 2014/2015 codes, accurate information on ICD-9 (ICD-9-CM and ICD-9-PCS), ICD-10-CM/PCS, CPT(R), HCPCS, PQRI and other billing codes and code sets. Free trial available.


• ICD-10 Code Search

Mapping tool that is based on General Equivalency Mapping files published by CMS. Please note that this tool does not guarantee clinical accuracy, and clinical analysis may be needed to determine appropriate codes.


• ICD-10 Code Translator

The ICD-10 code online translator tool allows you to compare ICD-9 to ICD-10 codes. ICD-9 is being expanded from 17,000 to approximately 141,000 ICD-10 codes, and this online tool can help you map that expansion. (Note: this tool only converts ICD-10-CM codes, not ICD-10-PCS.)


Frequently Asked Questions

What is ICD-10?
Who must comply with ICD-10?
What is the Alliance recommendation for Network providers about ICD-10 transition?
What is the Alliance's approach for testing?
Who can Providers contact at the Alliance for testing?
What is the Alliance's position on the ICD-10 final rules?
Will the ICD-10 Conversion have an effect on provider reimbursement or contracting?
What is the Alliance's approach to mapping ICD-9 codes to the ICD-10 codes?
Will the Alliance use crosswalk codes claims for processing?
Will the Alliance support dual intake of codes?
Will there be a transitional period to submit ICD-9 and ICD-10?


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Useful CMS Resources

• ICD-10 Main Website
• Industry Email Updates
• Provider Resources Page
Latest News


ICD-10 Educational Videos from CMS

ICD-10 Basics


Training to Assist Small Physicians


Practice Manager's Guide to ICD-10



Other External Resources for ICD-10 Information

• California DHCS
• AHIMA - The American Health Information Management Association


 

• What is ICD-10?


International Classification of Diseases, 10th Revision (ICD-10) is a diagnostic and procedure coding system endorsed by the World Health Organization (WHO) in 1990. It replaces the International Classification of Diseases, 9th Revision (ICD-9), which was developed in the 1970s. Internationally, the codes are used to study health conditions and assess health management and clinical processes; and in the United States, the codes are the foundation for documenting the diagnosis and associated services provided across healthcare settings.
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• Who must comply with ICD-10?


All HIPAA covered entities including health plans, health care clearinghouses, and certain health care providers must transition to ICD-10. Although, in some instances non-covered entities may not be required to adopt ICD-10, it might be beneficial for them to do so in order to continue doing business with health professionals that do convert to ICD-10.
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• What is the Alliance recommendation for Network providers about ICD-10 transition?


The Alliance recommends that providers update their training, policies, forms (ABN, Superbill, Intake, HIPAA Privacy Form, etc.), and tools well before then so that there is plenty of time to test before the transition date.
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• What is the Alliance's approach for testing?


If you are a provider and submit your EDI claims via a Clearinghouse, vendor or biller – please contact them directly in regards to ICD-10 testing. If you submit EDI claims directly to the Alliance, we will test 837P and 837I EDI claims files with you processing only ICD-10 codes.
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• Who can Providers contact at the Alliance for testing?


Please use the following email to contact the ICD-10 Support group:

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• What is the Alliance's position on the ICD-10 final rules?


The Alliance plans to adhere to ICD-10 final rules, however, we will work with individual providers to overcome possible conversion issues. The Alliance strongly encourages all providers to convert to ICD-10.
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• Will the ICD-10 Conversion have an effect on provider reimbursement and contracting?


The conversion will have these effects on provider reimbursement and contracting:

- Claims submitted to the Alliance for effective dates of service before the implementation date, must use ICD-9 codes or they will be denied.

- Claims submitted with both ICD-9 and ICD-10 codes (on the same claim) on and after the implementation date, will be denied.

- Claims for effective dates of service that span the transition date must be split into two claims by the provider so that one will have ICD-9 codes and the other will have ICD-10 codes.

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• What is the Alliance's approach to mapping ICD-9 codes to the ICD-10 codes?


The Alliance is not mapping codes. Claims will continue to be processed as current for both HIPAA covered and non-covered entities.
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• Will the Alliance use crosswalk codes claims for processing?


The Alliance will not be using crosswalk codes for claims processing.
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• Will the Alliance support dual intake of codes?


The Alliance will accept ICD-10 code sets billed by HIPAA covered entities and in some instances ICD-9 codes from non-covered entities. However it might be beneficial for non-covered entities to convert to ICD-10 codes in order to continue doing business with health professionals that do convert to ICD-10.
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• Will there be a transitional period to submit ICD-9 and ICD-10?


No transitional period has been established.
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