Changes
'''Work on ICD-10 began in 1983 and was completed in 1992.'''
The revised deadline for United States implementation of ICD-10 is Oct. 1, 2015
==National adoption for clinical use==
Some 25 countries use ICD-10 for reimbursement and resource allocation in their health system. A few of them made modifications to ICD to better accommodate this use of ICD-10. The article below makes reference to some of these modifications. The unchanged international version of ICD-10 is used in about 110 countries for cause of death reporting and statistics.
===United States===
The deadline for the United States to begin using Clinical Modification ICD-10 Clinical Modification (ICD-10-CM) for diagnosis coding and Procedure Coding System ICD-10 Procedure Coding System (ICD-10-PCS) for inpatient hospital procedure coding is set at October 1, 2015, another year delayed from the previous 2014 deadline. The deadline prior was October 1, 2013. All HIPAA "covered entities" must make the change; a prerequisite to ICD-10 is the adoption of Electronic Data Interchange|EDI Version 5010 by January 1, 2012. Enforcement of 5010 transition by the Centers for Medicare & Medicaid Services (CMS), however, was postponed by CMS until March 31, 2012, with the federal agency citing numerous factors, including slow software upgrades. The implementation of ICD-10 has been subject to previous delays. In January 2009, the date was pushed back by two years, to October 1, 2013 rather than a prior proposal of October 1, 2011. The most recent push back of the implementation date has inspired a mixed reaction from the healthcare community.
===Australia===
A Thai modification has existed since 2007; the Ministry of Public Health has ICD 10 TM.
and 1 of 3 first used ICD-10 Code with Czechoslovakia and Denmark in 1994
Even though the deadline for ICD-10 has been pushed back repeatedly, CMS recommends that medical practices take several years to prepare for implementation of the new code set. The basic structure of the ICD-10 code is the following: Characters 1-3 (the category of disease); 4 (etiology of disease); 5 (body part affected), 6 (severity of illness) and 7 (placeholder for extension of the code to increase specificity) . Not only must new software be installed and tested, but medical practices must provide training for physicians, staff members, and administrators. They will also need to develop new practice policies and guidelines, and update paperwork and forms. For convenience, practices may also create "crosswalks" that will convert their most frequently used ICD-9 codes to the ICD-10 equivalents.
===Language versions===
Language versions should not be confused with clinical versions. ICD has been translated into 42 languages.
[[Category:Medical Billing]], [[Category:Medical Coding]]
