ICD 10 countdown - Some important website to brush up

List of Valid ICD-10-CM Codes

CMS has posted a complete list of the 2016 ICD-10-CM valid codes and code titles on the 2016 ICD-10-CM and GEMs web page

http://www.cms.gov/Medicare/Coding/ICD10/Downloads/2016-Code-Descriptions-in-Tabular-Order.zip

. The file is named icd10cm_codes_2016.txt. This file will be useful for physician offices and other providers who want to check to make sure that they are reporting all characters in a valid ICD-10-CM code. The codes are listed in tabular order (the order found in the ICD-10-CM code book). This list should assist providers who are unsure if additional characters are needed, such as the addition of a 7th character in order to arrive at a valid code.

A similar list of the 2016 ICD-10-PCS valid codes and code titles is available on the 2016 ICD-10 PCS and GEMs web page. The file is named icd10pcs_codes_2016.txt.

Use of Unspecified Codes in ICD-10-CM

CMS has a number of resources that explain unspecified codes and how they should be used in ICD-10-CM:

• MLN Matters® Article SE1518, “Information and Resources for Submitting Correct ICD-10 Codes to Medicare”

http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1518.pdf

 • ICD-10 Basics MLN Connects National Provider Call - Call Materials from August 22, 2013

http://www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events-Items/2013-08-22-ICD-10-Call.html?DLPage=1&DLEntries=10&DLFilter=ICD-10&DLSort=0&DLSortDir=descending

HIPAA - some important website resources

Look to the AMA and website resources for updates. 

The HIPAA Privacy, Security and Breach Notification rules continue to be revised, and technological change continues to impact the application of those rules. Physician practices must ensure they stay on top of these changes to protect their patients’ rights, maintain compliance and avoid the potentially draconian penalties for violations.

American Medical Association HIPAA information 

AMA provides a host of information designed to help physicians comply with the HIPAA Privacy,

Security and Breach Notification Rules. 

http://www.ama-assn.org/go/HIPAA

US Department of Health and Human Services (DHHS) Office of Civil Rights (OCR) 

The HHS OCR website contains a wealth of information on the HIPAA Privacy and Security Rules,

including a list serv and a link to the Transaction and Code Sets information posted by CMS.

http://www.hhs.gov/ocr/privacy/index.html

Centers for Medicare and Medicaid Services (CMS) 

This link to the CMS website includes information on the Transaction and Code Sets Rule.

http://www.cms.gov/Regulations-and-Guidance/Regulations-and-Guidance.html