International Classification of Diseases, 10th Edition (ICD-10)


The transition to ICD-10 is necessary due to the data limitations ICD-9 produces related to patients’ conditions and hospital inpatient procedures. ICD-9 is outdated, inconsistent with current medical practice and limits the creation of new codes. ICD-10 provides an expanded set of diagnosis (ICD-10-CM) and procedure (ICD-10-PCS) codes to keep pace with medical and technological advances. In preparation for the full implementation of ICD-10 code sets on October 1, 2015, the Iowa Medicaid Enterprise (IME) encourages all providers to test ICD-10 claim submissions. Please read the section webpage on testing ICD-10 claim submission with Iowa MedicaidTo learn more about ICD-10, please read the ICD-10 Frequently Asked Questions


27 weeks until the October 1, 2015
Federal deadline for ICD-10 implementation

 

News and Announcements
  • Key Contact Information for the ICD-10 Group:
    1-800-338-7909 (toll-free), 515-256-4609 (if calling in Des Moines), icd-10project@dhs.state.ia.us (Email)

  • WEDI Releases News White Paper on ICD-10 Testing for Small Providers: The Workgroup for Electronic Data Interchange (WEDI) released a new white Paper, “ICD-10 Testing for Small Providers”. This white paper provides physician practices with a starting point for ICD-10 testing by focusing on primary considerations and steps for external testing with payers to ensure compliance with the October 1, 2015 implementation date. Download the white paper.
     
  • Congress Not Likely to Stop ICD-10 Date:  In opening statements at the U.S. House of Representatives Energy and Commerce Committee’s Subcommittee on Health, U.S. Rep. Joseph Pitts (R-Penn.), the chairman of the subcommittee, expressed his support for the Oct 1, 2015 date for implementation of ICD-10. Read the full article. You may also read the full hearing testimony
     
  • ICD-10 is coming. Are you ready? As announced in Informational Letter 1440the Iowa Medicaid Enterprise (IME) can no longer accept claims with ICD-9 codes for services delivered on or after October 1, 2015, and inpatient discharges occurring October 1, 2015 or after.  Registration for Iowa Medicaid Enterprise (IME) ICD-10 Volunteer Testing is now open. To register for testing, please contact the IME Provider Services Unit at 1-800-338-7909, or locally in Des Moines at 515-256-4609 or by email at ICD-10project@dhs.state.ia.us.

Testing ICD-10 Claim Submission with Iowa Medicaid
In preparation for ICD-10 implementation, Iowa Medicaid encourages all providers to begin testing ICD-10 claim submissions as soon as possible. Two testing options are available through Iowa Medicaid for Level 3 External Testing: End-to-End (E2E) and Business-to-Business (B2B).

Frequently Asked Questions (FAQ)
Please read the Frequenly Asked Questions document for answers to the most commonly encountered questions involving IME ICD-10. 

Iowa Medicaid ICD-10 Informational Letters
The following IME information letters have been published regarding ICD-10 implementation.

  • 1481 – Modification to the ICD-10 Testing Calendar
  • 1472 – ICD-10 Testing of Claim Submission for Seamless Transition (January 2015)
  • 1463 – ICD-10 Testing of Claim Submission for Seamless Transition (December 2014)
  • 1462 – Diagnosis Related Group (DRG) Impact Fiscal Analysis for ICD-10 Implementation (December 2014)

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Iowa Medicaid ICD-10 Provider Readiness Survey
The IME conducted and will continue to conduct periodic surveys to assess the readiness of IME providers prior to the October 1, 2015 launch date of ICD-10. Below are the results of previous surveys.

Centers for Medicare and Medicaid Services (CMS) ICD-10 Resources
CMS provides extensive information, tools and resources for implementing ICD-10. Go to the CMS "Quick Reference" webpage to find a wealth of information and resources on ICD-10.