The U.S. healthcare industry must upgrade from ICD-9 to ICD-10 codes on Oct. 1, 2015. There has been ample buildup to the ICD-10 implementation date, which has twice been delayed. Some healthcare providers aren't sweating the roughly 68,000 ICD-10 codes, because they've used that extra time to test their coding systems and train their employees. Other professionals, mainly physicians and small practices, aren't as eager to move from ICD-9 to ICD-10 codes. If the jump from ICD-9 to ICD-10 doesn't go as planned, some physicians have stated they'll retire, rather than deal with the fallout.
SearchHealthIT staff will have eyes on Twitter on the ICD-10 implementation date, gathering and sharing opinions from coding experts and industry insiders on this page. We'll be checking to see if there are patterns in the early ICD-10 successes and setbacks. We'll also pass along any valuable coding tips or advice that could prove useful to those struggling with some aspect of ICD-10.
Nobody is expected to be perfect on Day 1 of ICD-10. The Centers for Medicare and Medicaid Services said it will not deny claims submitted within a year after the ICD-10 implementation date, as long as a valid ICD-10 code from the proper code family is used. Follow @SearchHealthIT on Twitter and refresh this page throughout the first day of the ICD-10 era to keep up with the latest developments, and to get a feel for how the ICD-9 to ICD-10 coding changeover is going.
The day that so many people have been dreading has finally arrived: Oct. 1. The day healthcare organizations are mandated to transition to ICD-10. People have predicted the implementation of the new code set will be disaster, people have predicted that it will be another anti-climactic Y2K-type event, and now the healthcare community will finally know the results.
People hunkered down in their "war rooms":
As well as took to Twitter the eve and morning of Oct. 1 to express a wide range of emotions. Some people hate ICD-10, some love it, some resent CMS, some resent CMS for giving four states waivers:
I hate #ICD10 already— Alex Agos (@leggomyagos) October 1, 2015
Q: Name 4 states not using ICD-10 for Medicaid today. A: Calif., La., Md., Mont. #ICD10— Julie Miller (@Editor_JMiller) October 1, 2015
However, many also excitedly declared on Twitter that ICD-10 was in full effect at their healthcare organization, claims were being processed, all was working well, and things were generally pretty quiet:
Our clients are not only coding in #ICD10, but submitting claims. We just confirmed our first successful claim adjudication from a payer!— athenahealth (@athenahealth) October 1, 2015
Two hours into #ICD10; world not yet collapsed. Still able to post a tweet...good sign? I noticed though my feed from other docs now silent.— Brian J. So (@BrianSoMD) October 1, 2015
Some reported that they were having issues but said the problem was easily solved without any cataclysmic consequences:
Just solved my first #ICD10 "issue" Wasn't so bad. Will the rest be this easy?— Stacy Arsenault (@stacy_arsenault) October 1, 2015
And of course, others were not so lucky. Some healthcare organizations reported experiencing more serious problems ranging from systems (including EHRs) being completely down to computer systems not accepting codes:
Day 1 of ICD-10 and our system is down. Coincidence? I think not. #ICD10— Taylor Mehlenbacher (@taymehl) October 1, 2015
EMR is down. Hello #ICD10— Maureen Frederick (@Mfred72) October 1, 2015
A CMS official stated that it will take a couple weeks before the full picture of the ICD-10 implementation becomes clear:
And for those out there who are struggling, here are some resources that may help:
Some people even took to Twitter to get answers to their questions in an effort help them problem-solve as they try to navigate the new code set:
All in all, the healthcare community took the ICD-10 implementation day in stride and with a good dose of humor:
This seems to summarize this much-awaited and much-dreaded day pretty well:
Physicians explain ICD-10 coding, workflow fears
2015 AHIMA conference to end just before ICD-10 implementation date
Bizarre personal appearance included in substantial ICD-10 code set