The Centers for Medicare & Medicaid Services (CMS) implemented ICD-10 codes October 1, 2015. For more details, view the ruling. ICD-9 code sets are no longer valid and ICD-10 code sets must be submitted for laboratory orders. See the Lab Alert with hyperlinks to 17 crosswalks by medical specialty.
How does this affect lab orders?
- All laboratories will continue to rely on ordering providers to supply valid diagnosis at the highest level of specificity to bill third-party payers, including Medicare and Medicaid.
- Providing an ICD-10 code at the highest level of specificity at the time of order will minimize interruptions to your practice.
- Resources listing common ICD-10 codes are listed below for your reference.
ICD-9 to ICD-10 Conversion
Type the ICD-9 code you want to convert to ICD-10 using this tool:
- Cardiothoracic & Vascular
- Family Practice
- Internal Medicine
The American Academy of Family Physicians (AAFP) offers a variety of resources to help you including:
- AAFP Common ICD-10 Codes.pdf
- Coding Common Respiratory problems.pdf
- Coding for Hypertensive Disease.pdf
- Coding for Strains Sprains and Auto Accidents.pdf
- Coding GI.pdf
- How ICD-10 will affect your documentation.pdf
- Preventive Care Coding.pdf
These ICD-10 Web sites provide additional information and resources:
- American Medical Association (AMA) (type “ICD-10” in search field)
- Centers for Medicare & Medicaid Services (CMS)
- American Health Information Management Association (AHIMA)
- Workgroup for Electronic Data Interchange (WEDI)
- North Carolina Healthcare Information & Communications Alliance, Inc. (NCHICA)
- American Clinical Laboratory Association (ACLA) (type “ICD-10” in search field)
- Health Care Information and Management Systems (HIMSS) (type “ICD-10” in search field)