The monumental switch to ICD-10 on Oct. 1, 2014 will usher in nearly 70,000 codes designed to revolutionize electronic healthcare records and patient care systems. While the solidified implementation deadline feels far and extraneous, the lack of urgency and knowledge will be the ultimate downfall for practices who have failed to prepare for that first day of October.
Notably, extensive advanced preparation is underway to support Medicare payment systems to accept the new codes. As National Coverage Determination (NCD) hard-code shared system edits now incorporate ICD-10 codes, edits that were not previously implemented now have the potential to become effective under the content in Transmittal 8109, which include urology-specific NCDs (i.e. prostate cancer screening tests). Although the transmittal was published by CMS on January 18 and its effective date of April 1, 2013 far precedes the 2014 deadline, physicians will begin to feel the impact of this transmittal as the year continues. Be sure to reference the Centers for Medicare & Medicaid Services (CMS) transmittal website for information concerning Medicare's transition to ICD-10.
In regards to implementation for ICD-10, CMS provides suggested timelines to gauge where practices, small hospitals, and payers should be in their progress:
As an advocate and resource for urologists, the AUA continues to provide support, education, and updates in regards to this major transition. The AUA's first education event will be hosted on October 5, 2013 in a live, recorded session which will address ICD-10 training, implementing a one-year practice plan, discussion of expanded documentation requirements, and more. The recording will be available as a resource for urologists to utilize on their implementation journey. Please email pracman@AUAnet.org for more information on the release of ICD-10 virtual training.