Resources for Providers
- ICD-10 Quick Start Guide (PDF)
- Provider ICD-10 Resource Guide and Contact List (PDF)
- Infographics: Next Steps (PDF), Use ICD-10 Now (PDF)and ICD-10 (PDF)Billing Success (PDF).
- Role of Clearinghouses (PDF)
Clinical Concepts Series
Guides include common ICD-10 codes, clinical documentation tips, clinical scenarios, and links to Road to 10 by specialty:
- Family Practice (PDF)
- Internal Medicine (PDF)
- Cardiology (PDF)
- OB/GYN (PDF)
- Orthopedics (PDF)
- Pediatrics (PDF)
ICD-10 Basics (Videos)
- Introduction to ICD-10 Coding (2:03)
- ICD-10 Coding and Diabetes (3:23)
- CMS Countdown to ICD-10 (3:14)
Resources for Payers and Vendors
These resources will introduce you to ICD-10, explain why it is necessary, and give you the information you will need to use ICD-10:
- The ICD-10 Transition: An Introduction (PDF)
- ICD-10 Basics for Payers (PDF)
- Talking to Your Customers About ICD-10: Tips for Software Vendors (PDF)
Coding Resources
The Centers for Medicare & Medicaid Services does not provide specific coding guidance. However, listed below are several resources that may be able to assist you:
- The ICD-10 code lookup tool: /medicare-coverage-database/staticpages/icd-10-code-lookup.aspx
- Health Care Code Sets: ICD-10 (Fact Sheet)
- Web-Based Training (Diagnosis & Procedure Coding)
- For specific coding questions: Specific coding questions should be submitted to the American Hospital Association (the official US clearinghouse on medical coding) via http://www.codingclinicadvisor.com/
- AHIMA is now also providing coding advice for a fee through their Code Check service. You can learn more information at this link: http://www.ahima.org/topics/codecheck
Updated codes sets may be obtained free of charge at the following websites:
- 2022 ICD-10-CM: /Medicare/Coding/ICD10/2022-ICD-10-CM
- 2022 ICD-10-PCS: /Medicare/Coding/ICD10/2022-ICD-10-PCS
ICD-10 CM Guidelines, may be found at the following website:
For questions about Claims Processing and Payment or Local Coverage Determinations, please contact your Medicare Administrative Contractor (MAC) for guidance. You can find the list of MACs at this link: /Medicare/Coding/ICD10/ICD-10-Provider-Contact-Table.pdf (PDF)
For questions about National Coverage Determinations: /Medicare/Coverage/InfoExchange/contactus
For requests to update the ICD-10-CM codes, please note that the Centers for Disease Control and Prevention (CDC) is responsible for the development and maintenance of ICD-10-CM. Please send your ICD-10-CM comments to: Donna Pickett, CDC nchs@cdc.gov
Please contact your Regional Office if you have additional questions: /Medicare/Coding/ICD10/CMS-Regional-Offices