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Payer Resources

On October 1, 2014, the health care industry will transition from ICD-9 to ICD-10 codes for diagnoses and inpatient procedures.

The transition to ICD-10 will involve new coding rules, so it will be important for payers to review payment policies. Below are resources to help your organization prepare for the transition.

Understanding the Basics

These resources will introduce you to ICD-10, explain why it’s necessary, and give you the information you’ll need to get started on your transition.

Implementation Guides, Timelines, and Checklists

Checklists and timelines provide an at-a-glance view of what you need to do to get ICD-10 ready. The ICD-10 implementation guides provide detailed information about the ICD-10 transition. CMS  also developed an online ICD-10 implementation guide, which is a web-based tool that provides step-by-step guidance on how to transition to ICD-10.  Please note that the dates and milestones in these materials are recommendations only; you can adapt them to your needs for meeting the October 1, 2014, deadline.

Testing  

CMS has resources to help payers conduct ICD-10 testing with their trading partners. To learn more, visit the CMS end-to-end testing website.

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