Agencies
Services
Provider Notice issued 01/09/14
Conversion from International Classifications of Disease (ICD)-9 to ICD-10
| To: | All Long Term Care Facilities (NFs, ICF/DDs, SLFs, SMHRFs) |
| Date: | January 9, 2014 |
| Re: | Conversion from International Classifications of Disease (ICD)-9 to ICD-10 |
This Notice is sent as follow-up to a previous ICD-10 Provider Notice (pdf) dated December 13, 2013, sent to all registered medical providers regarding the federally mandated conversion from ICD-9 to ICD-10 codes effective October 1, 2014.
ICD-9 codes are currently provided as part of the resident admission information electronically submitted to the DHS caseworker. ICD-9 coding is not used to set LTC facility reimbursement rates although it is a required data element that must be provided as part of the admission information.
ICD-10 codes have been expanded to seven characters and will provide a much more specific diagnosis than the ICD-9 code. This code is currently provided to the facility by the resident's physician.
Prior to October 1, 2014, facilities must obtain an ICD-10 code for each resident from their physician and enter the new code electronically using the Department's Medicaid Electronic Data Interchange (MEDI) system. The ICD-10 code must be entered during the time period 7/1/2014 through 9/30/2014 for all residents with an active admission on the HFS payment system at that time.
For residents with an admission date beginning 10/1/2014 the ICD-10 code must be submitted as part of the regular admission transaction processed electronically. The facility may use either MEDI or REV for these new transactions.
Facilities are being informed of this now to ensure they have adequate time to both obtain the ICD-10 code from the physician and electronically enter it through the MEDI system.
Questions regarding this Notice may be directed to the Bureau of Long Term Care at 217-782-0545.
Theresa A. Eagleson, Administrator
Division of Medical Programs