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Physician practices have just under a year to prepare for the biggest change to coding in 30 years: the implementation of the ICD-10-CM code set, which takes effect Oct. 1, 2014. With the change, the health care system moves from ICD-9’s 14,500-code set to nearly 70,000 codes. Most individual codes are also longer: ICD-10 codes are three to seven characters, vs. ICD-9’s three to five.
To help your practice switch to ICD-10 successfully, the Academy and the American Academy of Ophthalmic Executives (AAOE) have developed a number of resources to guide you through the transition, including a new ophthalmology-specific ICD-10 book and several courses. The Academy will also provide emails, reminders and other announcements and resources throughout the year to walk you through the transition.
To avoid severe cash-flow interruption, your practice must move quickly. Failure to convert to ICD-10 by Oct. 1 could jeopardize almost all of your practice's payments, as commercial and federal payers will deny all ICD-9 claims.
The CMS-1500 Claim Form has been recently revised with changes including those to more adequately support the use of the ICD-10 diagnosis code set. The revised CMS-1500 form (version 02/12) will replace version 08/05. The revised form will give providers the ability to indicate whether they are using ICD-9 or ICD-10 diagnosis codes, which is important as the October 1, 2014, transition approaches. ICD-9 codes must be used for services provided before October 1, 2014, while ICD-10 codes should be used for services provided on or after October 1, 2014. The revised form also allows for additional diagnosis codes, expanding from 4 possible codes to 12.
Only providers who qualify for exemptions from electronic submission may submit the CMS-1500 Claim Form to Medicare. For those providers who use service vendors, CMS encourages them to check with their service vendors to determine when they will switch to the new form. Medicare will begin accepting the revised form on January 6, 2014. Starting April 1, 2014, Medicare will accept only the revised version of the form.
Vendors are key partners who can help you prepare for ICD-10. Review Assessing and Communicating with Vendors [PDF 190K].
AAOE has everything you and your practice need to successfully transition to ICD-10.
CODEquest 2014: Conquering ICD-10-CM
Physicians and staff must learn the new terminology and guidelines for usage for ICD-10.Learn to conquer ICD-10 during this four-hour, ophthalmology-specific coding seminar. State ophthalmological societies are partnering with the Academy and AAOE to bring ophthalmology’s most popular coding seminar to a city near you.* For updated sites, dates, locations and registration information visit www.aao.org/codequest.
Print and online products
2014 ICD-10-CM for Ophthalmology (#0120343)
The only specialty specific book written for ophthalmology by an ophthalmologist. Gordon E. Johns, MD extrapolates from the master data files all diagnosis codes pertaining to ophthalmic care. Includes a quick reference guide that shows frequently reported ICD-9 codes converted to ICD-10 codes. Order at www.aao.org/store.
Conquering ICD-10-CM: Your “How-To” Guide for Ophthalmology (#0120345)
A companion to the ICD-10-CM for Ophthalmology reference book, this work book includes coding and ICD-10 scenarios across all subspecialties. Order at www.aao.org/store.
Online Course: 90 Minutes to Conquering ICD-10-CM for Ophthalmology
This 90-minute interactive course helps you smoothly and successfully transition to ICD-10. It shows you how to select new ICD-10 codes correctly every time. Available for purchase after Nov. 1 at www.aao.org/store.
|*State societies that have partnered with the Academy and AAOE are listed below.
Visit www.aao.org/codequest to see our growing list of partners:
Share your unique way of conquering ICD-10-CM and be recognized as a "Conquering Hero". Submit what worked or even what didn’t work to email@example.com.