If you’re looking for ICD-10 education, you’ve come to the right place! Below are resources that will help you increase your familiarity and comfort with ICD-10 coding.
CMS has confirmed the end of the one-year “grace period” for ICD-10 claims. For the first year that ICD-10 was in place (October 1, 2015 – October 1, 2016), CMS did not deny claims solely for lack of coding specificity. However, as of October 1, 2016, CMS will no longer “give a pass” for diagnosis codes that are not as specific as the claim documentation supports. Unspecified codes may be used in claims after October 1, but only in cases when the medical record does not provide enough detail to accurately assign a more specific code. As of October 1, both CMS and commercial payers will expect providers to use the most specific diagnosis code(s) that the medical record and the provider’s familiarity with the patient’s condition will support. See the updated ICD-10 Guidance for more information.
The code books available for purchase have been formatted by the publishers to be useful, easy to navigate, and include extra tips. But what if you can’t get approval to buy a book? You can get the basic code set from CMS for free (both CM, which is for most outpatient services, and PCS, which is used more in inpatient settings).