News Updates|August 7, 2015
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CMS ICD-10 Coding Resources
List of Valid ICD-10-CM Codes
CMS has posted a complete list of the 2016 ICD-10-CM valid codes and code titles in the2016 Code Descriptions in Tabular Order ZIP file on the2016 ICD-10-CM and GEMs web page. See the file named “icd10cm_codes_2016.txt” in the ZIP file for the list.
This file will be useful for physician offices and other providers who want to check to make sure that they are reporting all characters in a valid ICD-10-CM code. The codes are listed in tabular order (the order found in the ICD-10-CM code book). This list should assist providers who are unsure if additional characters are needed, such as the addition of a 7th character in order to arrive at a valid code.
A similar list of the 2016 ICD-10-PCS valid codes and code titles is available in the2016 PCS Long and Abbreviated Titles ZIP file on the 2016 ICD-10 PCS and GEMs web page. See the file named “icd10pcs_codes_2016.txt” in the ZIP file for the list.
Use of Unspecified Codes in ICD-10-CM
CMS has a number of resources that explain unspecified codes and how they should be used in ICD-10-CM:
Keep Up to Date on ICD-10
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Disclaimer: This guidance is to be used for an easy reference; the
ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and
Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes,
regulations, or other policy materials. It is not intended to take the place of
either the written law or regulations. The information presented herein is for general
informational purposes only and is accurate as of the date of publication.
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If the Disease Group is Listed in this column… …Then drop the Disease Group(s) listed in this column is found here : Announcement of Calendar Year (CY) 2017 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter Found at: https://www.cms.gov/Medicare/HealthPlans/MedicareAdvtgSpecRateStats/Downloads/Announcement2017.pdf P 87 If the Disease Group is Listed in this column… …Then drop the Disease Group(s) listed in this column Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations. The information presented herein is for general informational purposes only and is accurate as of the date of
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