Electronic Health Records

Policy & Regulation News

Return of Annual Updates to ICD-10 Code Set Begin Oct. 1

With the lifting of the ICD-10 code set freeze, regularly scheduled annual updates are coming.

By Kyle Murphy, PhD

- At a recent meeting of the ICD-10 Coordination & Maintenance Committee, the Centers for Medicare & Medicaid Services unveiled plans for implementing the first updates to the ICD-10 code set.

CMS, CDC discuss first updates to ICD-10 code set

Last week's meeting was the first since the ICD-10 implementation deadline on October 1, which ICD-10 Coordination and Maintenance Committee Co-Chair labeled a success.

"We're so pleased to report that no sky fell and there were no major issues. We had no big billing problems. And life is good," she said to kick off the two-day public forum in Baltimore to discuss proposed code changes to ICD-10 codes.

On the subject of ICD-10 updates, the first additions to ICD-10 codes will come on Oct. 1, 2016 as no requests for updates were made at a previous meeting of the committee back in October 2015.

  • Will EHRs improve patient safety?
  • eClinicalWorks Sued for Nearly $1B Due to Faulty Patient EHRs
  • Health data breaches and responses
  • Limited Health Information Exchange to Hinder Care Quality
  • ONC to hold annual meeting next week
  • Removing Barriers to Behavioral Health Information Exchange
  • Champion of Patient-Centered Care Judy Murphy to Leave ONC
  • Walgreens and Centura Health form healthcare partnership
  • Is Stage 1 more challenging than Stage 2 Meaningful Use?
  • Aging population presents challenges, opportunities for EHR and HIE
  • ICD-10 elimination bill introduced in the Senate
  • Federal Commission Calls for VA Commercial EHR Replacement
  • Will Meaningful Use Undermine EHR Interoperability in MACRA?
  • Nachimson Advisors Refutes ICD-10 Implementation Costs Claims
  • HIMSS: Less than 6% of ambulatory practices use patient portals, PHRs
  • EHR Integration Improves Assessment for COPD Patients
  • Vanderbilt Study Shows EHR Use Improves Preventive Medicine
  • HIMSS Calls for Minor Changes to ONC Interoperability Advisory
  • DoD Cerner, NYCHH Epic Implementations Achieve Milestones
  • Tripathi: Clinical analytics and HIE provide rich, timely data
  • Five ways a cloud-based EHR can make meaningful use easy
  • How can physician EHR use improve overall care quality?
  • Dec. 16: ONC to hold patient matching meeting
  • WEDI Appoints Former AHIP Exec as Interim CEO
  • How the EHR Selection Process Influences Specialist EHR Use
  • ONC officially turns NwHIN into eHealth Exchange
  • Can EHRs and telemedicine integrate for better patient care?
  • US Coast Guard Searching for Commercial EHR to Replace Epic
  • ONC ramps up CAH meaningful use efforts
  • Epic EHR, MACRA, Meaningful Use Dominate 2017 Headlines
  • Patient Safety Not Improved by Cutting Resident Working Hours
  • EHR nightmares: Why treating EHRs like paper records fails
  • CMS Rule Simplifies Quality Payment Program Requirements
  • CDI produces financial, clinical benefits apart from ICD-10
  • Kaiser Permanente, VA partner for healthcare innovation
  • Meditech adoption leads to financial losses at two hospitals
  • CMS Considers Reducing 2015 Meaningful Use Requirements
  • Meaningful use fraud: HHS, DoJ issue warning
  • Clearwater’s Chaput to address security of ePHI
  • Patient identification pitfalls plague HIE networks
  • Gauging success of ONC HIE grant recipients
  • What’s preventing telehealth use by mental health providers?
  • KeyHIE Innovates for Interoperability, Population Health Management
  • First DoD Site Completes Go-Live of New GENESIS EHR System
  • EHR Data Interoperability Should Meet Five Use Cases
  • Greenway, Vitera agreement is latest health IT consolidation
  • Meaningful use to make providers more efficient, effective?
  • House votes to let VA hire more claims staff to reduce backlog
  • Defending Meaningful Use Requirements for Patient Engagement
  • AMA Sees Trouble in Departures of DeSalvo, Reider from ONC
  • Hearing to Discuss SGR Fix Recalls the Last ICD-10 Delay
  • Identifying, resolving 3 common gotchas of EHR go-lives
  • ONC targets non-meaningful users with 2015 edition criteria
  • Call for Nominations for HIT Advisory Committees
  • Making Health IT Interoperability More Concrete, Actionable
  • athenahealth EHR Users Report Financial Gains 5% Over Baseline
  • What will limit provider success in Stage 2 Meaningful Use?
  • Why Healthcare Providers Should Embrace Innovative EHR Use
  • Has EHR usability suffered for the sake of adoption speed?
  • Why is Stage 2 Meaningful Use a challenge for providers?
  • Senators Propose Health IT Ratings, Certification Tweaks
  • Study shows EHR use doesn’t equal better care
  • Reduction of inpatient care is challenging hospital revenues
  • Q&A with American Telemedicine Association: Part II
  • CIO series: Epic EHR adoption, training at a Stage 6 hospital
  • Can printing from the EHR eliminate hybrid workflow problems?
  • How style guides sustain effective consistency in EHR design
  • Survey: 1/3 of healthcare workers to pursue new jobs in 2013
  • Former healthcare CEO equates Epic customers, hostages
  • Debating effect of Stage 2 Meaningful Use on EHR adoption
  • Web-based tools, EHRs help physicians identify genetic risks
  • 3M offers new ICD-10 Web training modules
  • Physicians band together as finances threaten independence
  • ONC Addresses 2015 Edition Health IT Certification Questions
  • ONC requests EHR patient access information
  • Texas HIE Merger Brings Millions of Records Under One Roof
  • ICD-10 Coalition opposes ICD-10 delay in SGR patch
  • DoD, VA face Congressional probe over “troubling” EHR decision
  • Tiger Team seeks patient privacy and security input
  • Are public health information exchanges on the way out?
  • Team Says Interoperability Is Key for DOD EHR Modernization
  • Survey: Time, resources, buy-in prevent true meaningful use
  • How Interoperability, Care Coordination Work to Improve ACOs
  • EHR data identifies and classifies diabetes in patients
  • EHR interoperability, innovation at the VA: Peter Levin Q&A
  • Groups Urge Congress to Cover Telemedicine under Medicare
  • KHIN connects HIE to CDC for population health
  • Need for Continuing Education to Maximize Physician EHR Use
  • CMS cancels ICD-10 end-to-end test pilot in wake of delay
  • Stage 1 Meaningful Use: Registration for eligible professionals
  • CA Hospitals Agree to Connect to Health Information Exchange
  • 12 EHR Vendors Reach Agreement on Interoperability Standards
  • Choosing a reporting period for Stage 2 Meaningful Use
  • HHS tackles EHR, data disaster preparedness through HIE
  • ICD-10 Coding Implementation Threatened by Partisan Politics
  • CMS provides overview of Stage 2 Meaningful Use attestation
  • Allscripts Unveals New iPad App
  • McKesson to give away $1 million in software
  • Realizing the Benefits of Clinical Documentation Improvement
  • Task Force Makes Health IT Interoperability Recommendations
  • "If we had planned to have an April 1 code update, then we would have had to have a request at the September Coordination & Maintenance Committee meeting for an expedited code update," she explained. "If we had, we would have made that decision by now. There were no requests for an April 1 code update at the September meeting; therefore, there won't be any updates until October 1, 2016."

    As Brooks went on to explain, the "longer than expected" code freeze that went into effect as a result of repeated ICD-10 delays has thawed. Regular, annual updates to ICD-9 and ICD-10 codes were paused after Oct. 1, 2011, and only limited code updates occurred in subsequent years on the same date.

    Despite the code freeze, ICD-10 Coordination & Maintenance Committee continued to meet twice annually to gauge the public's interest in requesting new diagnosis or procedure codes. Evaluations of those requests were similarly delayed until the partial freeze ended.

    The proposed rule specifying the first updates to ICD-10 codes is slated to be published next month. The final rule will be published in August and code updates implemented on October 1. The public has until April to submit comments on the proposed code updates covered in this week's meeting. Additionally, a complete code update and addendum will appear in June.

    On the ICD-10-PCS side, a total of 3651 new and 487 revised codes are currently under review, pushing the total number of ICD-10-PCS codes to 75,625 in fiscal year 2017.

    Of the new codes, 97 percent pertain to cardiovascular system codes — 3549 new codes. The lion's share of the proposal for new codes came as a result of a new for unique device values for multiple intraluminal devices and related means for documenting arterial conditions.

    While the diagnosis codes are few in number, they also include numerous deletions, according to Donna Pickett, MPH, RHIA, of the Centers for Disease Control.

    "For the diagnosis side, we're looking at about 1900 new codes, and that would also include 313 deletions and 351 revised codes," she said during the second day of the public forum.

    Pickett noted that the much longer code set freeze saw 162 proposals made. "Yes, quite a bit," she added.

    "Interestingly, if you're wondering why things are progressing as they are," she continued, "there were a number of proposals that were presented early on in the cycle, for instance 2012, and in subsequent years during the freeze additional proposals came in and either revised what was already presented, others were withdrawn, others were amended, and then there were some that were very complex that required multiple re-presentations. Most of you who follow the process know which ones those are."

    Unsurprisingly, the four-year freeze means a lot of work to work through the backlog while at the same time considering new proposals.



    Sign up to continue reading and gain Free Access to all our resources.

    Sign up for our free newsletter and join 60,000 of
    your peers to stay up to date with tips and advice on:

    EHR Optimization
    EHR Interoperability
    EHR Replacement

    White Papers, Webcasts, Featured Articles and Exclusive Interviews

    Our privacy policy

    no, thanks

    Continue to site...