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With a punch list in hand, CMS readies for ICD-10

The march toward ICD-10 is on in earnest.

Along with apparent solid congressional and industry support for ICD-10 after last year’s surprise one-year delay in stepping up medical coding from ICD-9, it appears that CMS is addressing some of the last technical details before the planned Oct. 1 switchover.

CMS recently asked the Office of Management and the Budget (OMB) to approve an Outcome and Assessment Information Set C-1 set for ICD-10 that CMS had to change to a data set that could accommodate the continued use of ICD-9 for a year.

The data set now has to be revised to reflect a few technical coding changes to allow the implementation of ICD-10.

It includes five items mainly affecting home health agencies and the data they are required to collect in order to participate in Medicare. They are:

  • Listing of each inpatient diagnosis and ICD-9 code at the highest level of specificity for only those conditions treated during an inpatient stay within the last 14 days
  • Diagnoses requiring medical or treatment regimen change within the past 14 days
  • Primary diagnosis and degree of symptom control
  • Other diagnoses and degree of symptom control
  • Payment diagnoses

As part of the OMB approval process, home health agencies can comment on the proposed changes until April 24.

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