|
Coincident with the ICD-10 announcement, the Department of Health and Human Services (HHS) proposed a long-awaited separate regulation 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. HHS said that Version 5010 is essential for use of the ICD-10 codes.
Updated versions of current HIPAA electronic transaction standards will require the use of the ICD-10 code sets for claims, remittance advice, eligibility inquiries, referral authorization, and other widely used transactions. The currently adopted standard, Version 4010/4010A1 of the American Standards Committee X12 group, cannot accommodate the much larger ICD-10 code sets. Under the updated transaction standards proposed rule, compliance with Version 5010 (health care transactions) would be required by April 1, 2010.
Covered entities required to use the ICD-10-CM code sets would 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. For questions or further information, please contact reimbursement@asha.org.
|