American Speech-Language-Hearing Association

CMS Announces New ICD-10 Implementation Date of October 1, 2015

(May 7, 2014)

On May 1, 2014, the Centers for Medicare and Medicaid Services (CMS) released a brief statement regarding its plans for implementation of ICD-10 (International Classification of Diseases, 10th Revision) after the Protecting Access to Medicare Act of 2014 delayed the October 1, 2014, transition date to no earlier than October 1, 2015.

In its e-mail announcement, the agency confirmed that it "expects to release an interim final rule in the near future that will include a new compliance date that would require the use of ICD-10 beginning October 1, 2015. The rule will also require HIPAA covered entities to continue to use ICD-9-CM through September 30, 2015."

ASHA will continue to monitor progress towards implementation and will provide updates as CMS finalizes its transition plans.

Background

The Health Insurance Portability and Accountability Act (HIPAA) requires ICD-10 to be used for health services billing and record keeping. However, on April 1, 2014, President Obama signed into law the Protecting Access to Medicare Act of 2014, which included a provision that delayed the October 1, 2014, implementation of ICD-10. This is not the first time that implementation of ICD-10 has been delayed due to Congressional action.

Once implemented, ICD-10-CM (Clinical Modification) will replace ICD-9-CM (9th Revision, Clinical Modification) as the official system of assigning codes to diagnoses and procedures in the United States. The ICD-9-CM is 30 years old, has outdated and obsolete terminology, and produces limited data. ICD-10-CM will allow for more codes and greater specificity and better data tracking of incidence and prevalence of disease.

Resources

ASHA had developed extensive resources to assist audiologists and speech-language pathologists with the transition to ICD-10, including an ICD-9 to ICD-10 mapping tool and discipline-specific ICD-10-CM code lists.

For questions regarding the transition, please contact reimbursement@asha.org.


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