Below is an announcement from HHS about proposed rules for ICD10 and new
versions of the transactions.

 

From: All Open Door Forums [mailto:[EMAIL PROTECTED] On Behalf Of CMS 

PHYSICIANODF-L

Sent: Friday, August 15, 2008 3:57 PM

To: [EMAIL PROTECTED]

Subject: HHS Proposes Adoption of ICD-10 Codes Sets and Updated Electronic 

Transaction Standards

 

HHS Proposes Adoption of ICD-10 Code Sets and Updated Electronic Transaction


Standards

 

Proposed Changes Would Improve Disease Tracking and Speed Transition to an 

Electronic Health Care Environment

 

The Department of Health and Human Services (HHS) today announced a 

long-awaited proposed regulation that would replace the ICD-9-CM code sets 

now used to report health care diagnoses and procedures with greatly 

expanded ICD-10 code sets, effective October 1, 2011.  In a separate 

proposed regulation, HHS has proposed adopting the updated X12 standard, 

Version 5010, and the National Council for Prescription Drug Programs 

standard, Version D.0, for electronic transactions, such as health care 

claims.  Version 5010 is essential to use of the ICD-10 codes.

 

In 2000, under authority provided by the Health Insurance Portability and 

Accountability Act of 1996 (HIPAA), the ICD-9-CM code sets were adopted for 

use in the administrative transactions by both the public and private 

sectors to report diagnoses and inpatient hospital procedures.  Covered 

entities required to use the ICD-9-CM code sets include health plans, health


care clearinghouses, and health care providers who transmit any electronic 

health information in connection with a transaction for which a standard has


been adopted by HHS.

 

Developed almost 30 years ago, ICD-9 is now widely viewed as outdated 

because of its limited ability to accommodate new procedures and diagnoses. 

ICD-9 contains only 17,000 codes and is expected to start running out of 

available codes next year.  By contrast, the ICD-10 code sets contain more 

than 155,000 codes and accommodate a host of new diagnoses and procedures. 

The additional codes will help to enable the implementation of electronic 

health records because they will provide more detail in the electronic 

transactions.

 

Comments on the ICD-10 code sets proposed rule are due by 5:00pm Eastern 

time on October 21, 2008.

 

Comments on the updated transaction standards proposed are due by 5:00pm 

Eastern time on October 21, 2008.

 

Both regulations may be viewed at 

www.cms.hhs.gov/TransactionCodeSetsStands/02_TransactionsandCodeSetsRegulati
ons.asp#TopOfPage

 

To read the HHS press release issued please click here: 

http://www.hhs.gov/news/press/2008pres/2008.html

 

Fact sheets describing both proposed rules will be forthcoming at 

http://www.cms.hhs.gov/apps/media/fact_sheets.asp.

 

 

 

  _____  

From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of
johnkmurray
Sent: Wednesday, August 20, 2008 6:07 PM
To: [email protected]
Subject: [EDI-L] HIPAA - The Sequel!

 

Yes, we all had so much fun with the first episode of HIPAA 
Transactions and Code Sets. What could be better than a sequel? Yep, 
stay glued to your seats, boys and girls, because the Department of 
Health and Human Services ("We're from the gum'mint, we're here to help 
you!") is publishing the NPRM for HIPAA Standard Transactions and Code 
Sets Update - henceforth known as HIPAA-2. 

In a nutshell this means the X12 transactions get upgraded to version 
5010, NCPDP upgrades to D.0, and introducing new transactions for 
Medicaid Subrogation, Pharmacy supplies and services.

The proposed deadline for adoption is April 1, 2010. Why? Because this 
will be followed by adoption of ICD-10 in October, 2011.

The rules are available for preview at the CMS website and are expected 
to be formally published in the Federal Register on Friday.

 



[Non-text portions of this message have been removed]


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