ICD-10 Would be Delayed One Year Under HHS Proposal

Andrea Kraynak, April 9, 2012

HHS released a proposed rule Monday announcing a one-year delay of the implementation of ICD-10-CM/PCS. If finalized, ICD-10 would become effective October 1, 2014.

"Many provider groups have expressed serious concerns about their ability to meet the Oct. 1, 2013, compliance date. The proposed change in the compliance date for ICD-10 would give providers and other covered entities more time to prepare and fully test their systems to ensure a smooth and coordinated transition to these new code sets," according to an April 9 press release.

"This is what I expected," says Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CPC-I, CCDS, director of HIM and coding at HCPro, Inc., in Danvers, Mass. "But I am happy to hear that they didn’t seem to consider bypassing ICD-10 and going right to ICD-11. This goes to show that they do see the value in the system."

She believes this delay will give providers the necessary time to implement and handle the costs associated with the change. "And now that we know the deadline, there is no excuse," she says. "At this point, we have a date in sight again and we shouldn’t waste away the time that we have. We were given the extra time; use it wisely."

The proposed rule, "Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to the Compliance Date for ICD-10-CM and ICD-10-PCS Medical Data Code Sets" also proposes the adoption of a unique health plan identifier under HIPAA. That proposal would implement several administrative simplification provisions of the Affordable Care Act and save an estimated $4.6 billion over 10 years for healthcare plans and providers. The proposed rule also includes the adoption of a data element that would serve as an "other entity" identifier (OEID), as well as add a National Provider Identifier (NPI) requirement.

Andrea Kraynak

Andrea Kraynak, CPC, is senior managing editor of Medical Records Briefing and HIM Connection. She may be reached at akraynak@hcpro.com.


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