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2012-09 Partial Code Freeze Prior to ICD-10 Implementation

Partial Code Freeze Prior to ICD-10 Implementation

MLN MattersĀ® Number: SE 1240 Related Change Request (CR) #: N/A Related CR Release Date: N/A Effective Date: N/A Related CR Transmittal #: N/A Implementation Date: N/A

  • Provider Types Affected
    This MLN MattersĀ® Special Edition article affects all Medicare Fee-For-Service (FFS) physicians, providers, suppliers and other entities who submit claims to Medicare Contractors for services provided to Medicare beneficiaries in any health setting.
  • What You Need to Know
    At a meeting on September 14, 2011, the ICD-9-CM Coordination & Maintenance (C&M) Committee implemented a partial freeze of the ICD-9-CM and ICD-10 (ICD-10-CM and ICD-10-PCS) codes prior to the implementation of ICD-10 which would end one year after the implementation of ICD-10. The implementation of ICD-10 was delayed from October 1, 2013, to October 1, 2014, by final rule CMS-0040-F issued on August 24, 2012. This final rule is available at http://www.cms.gov/Medicare/Coding/ICD10/Statute_Regulations.html on the Centers for Medicare & Medicaid Services (CMS) website.
    There was considerable support for this partial freeze. The partial freeze will be implemented as follows:
    The last regular, annual updates to both ICD-9-CM and ICD-10 code sets were made on October 1, 2011
    On October 1, 2012, and October 1, 2013, there will be only limited code updates to both the ICD-9-CM and ICD-10 code sets to capture new technologies and diseases as required by Section 503(a) of Pub. L. 108-173
    On October 1, 2014, there will be only limited code updates to ICD-10 code sets to capture new technologies and diagnoses as required by Section 503(a) of Pub. L. 108-173. There will be no updates to ICD-9-CM, as it will no longer be used for reporting.
    On October 1, 2015, regular updates to ICD-10 will begin
  • The ICD-9-CM Coordination and Maintenance Committee will continue to meet twice a year during the partial freeze. At these meetings, the public will be asked to comment on whether or not requests for new diagnosis or procedure codes should be created based on the criteria of the need to capture a new technology or disease. Any code requests that do not meet the criteria will be evaluated for implementation within ICD-10 on and after October 1, 2015, once the partial freeze has ended.
  • The code freeze was initially discussed at the September 15, 2010, meeting of the committee. To view the transcript of that meeting, go to: http://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/index.html on the CMS website. From there, select the September 15-16, 2010, meeting documents and transcripts from the Downloads section, and then from the ZIP files, select the ‘091510_Morning_Transcript’ file. This section appears on page 4 of the 78-page document.

To view the Summary Report of the meeting, go to: http://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/index.html on the CMS website. From there, select the September 15-16, 2010, meeting documents and transcripts from the Downloads section, and then from the ZIP files, select the ‘091510_ICD9_Meeting_Summary_report.pdf’ file. Information on the Code Freeze begins on page 5.

  • Additional Information
    CMS has developed a variety of educational resources to help Medicare FFS providers understand and prepare for the transition to ICD-10. General information about ICD-10 is available at http://www.cms.gov/Medicare/Coding/ICD10/index.html on the CMS website.
    In addition, the following CMS resources are available to assist in your transition to ICD-10:
    Medicare Fee-for-Service Provider Resources Web Page – This site links Medicare Fee-For-Service (FFS) providers to information and educational resources that are useful for all providers to implement and transition to ICD-10 medical coding in a 5010 environment. As educational materials become available specifically for Medicare FFS providers, they will be posted to this web page. Bookmark http://www.cms.gov/Medicare/Coding/ICD10/index.html and check back regularly for access to ICD-10 implementation information of importance to you. Note: Use the links on the left side of the Web page to navigate to ICD-10 and 5010 information applicable to your specific interest.
    CMS Sponsored National Provider Conference Calls – During the ICD-10 implementation period, CMS will periodically host national provider conference calls focused on various topics related to the implementation of ICD-10. Calls will include a question and answer session that will allow participants to ask questions of CMS subject matter experts. These conference calls are offered free of charge and require advance registration. Continuing education credits may be awarded for participation in CMS national provider conference calls. For more information, including announcements and registration information for upcoming calls, presentation materials and written and audio transcripts of previous calls, please visit http://www.cms.gov/Medicare/Coding/ICD10/index.html on the CMS website.
    See MLN MattersĀ® Special Edition article, SE 1239, at http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1239.pdf for an overview of what is needed to implement ICD-10.
    Frequently Asked Questions (FAQs) – To access FAQs related to ICD-10, please visit the CMS ICD-10 web page at http://www.cms.gov/Medicare/Coding/ICD10/index.html, select the Medicare Fee-for-Service Provider Resources link from the menu on the left side of the page, scroll down the page to the ‘Related Links Inside CMS’ section and select ‘ICD-10 FAQs.’ Please check the ICD-10 FAQ section regularly for newly posted or updated ICD-10 FAQs.
    The following organizations offer providers and others ICD-10 resources:
    Workgroup for Electronic Data Interchange (WEDI) http://www.wedi.org
    Health Information and Management Systems Society (HIMSS) http://www.himss.org/icd10 on the Internet

Disclaimer
This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2011 American Medical Association.

last updated on 09/26/2012