ICD-10 set for Oct. 1, 2015

Friday, May 2, 2014

WASHINGTON – A new clock has started ticking on ICD-10.

In an April 30 proposed rule that sets hospital and long-term care inpatient payment rates and rules for 2015, CMS acknowledged that it now plans to implement the new coding system on Oct. 1, 2015.

Congress forced the agency’s hand when both the House of Representatives and the Senate passed “doc fix” bills that included a one-year delay in the transition from ICD-9 to ICD-10.

CMS “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 Oct. 1, 2015,” according to a statement from the agency published in Modern Healthcare. “The rule will also require HIPAA-covered entities to continue to use ICD-9-CM through Sept. 30, 2015.”

In the proposed rule, CMS also seeks comments on how “if at all, we should adjust performance scoring under the Hospital VBP Program to accommodate quality data coded under ICD-10-CM/PCS, or otherwise ensure fair and accurate comparisons under the Hospital VBP Program once the transition date has passed.”

Industry stakeholders have urged HME providers to prepare for the transition to ICD-10 for some time.