ICD-10 Information for Cigna-HealthSpring Providers

Did you know that in January 2009, the U.S. Department of Health and Human Services (HHS) published a final rule requiring the use of International Classification of Diseases version 10 (ICD-10) for diagnosis and hospital inpatient procedure coding? The rule impacts the health care industry – including health plans, hospitals, doctors and other health care professionals, as well as vendors and trading partners.

ICD-10 Compliance Date Announced
The U.S. Department of Health and Human Services (HHS) issued a rule on July 31, 2014 finalizing October 1, 2015 as the new compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10, the tenth revision of the International Classification of Diseases. This deadline allows providers, insurance companies and others in the health care industry time to ramp up their operations to ensure their systems and business processes are ready to go on October 1, 2015.

Previously, on April 1, 2014, the President signed the Protecting Access to Medicare Act of 2014 (the "Act"), which delayed the implementation of ICD-10 diagnosis and procedure codes. The Act prohibited the Secretary of Health and Human Services (HHS) from adopting ICD-10 code sets any earlier than October 1, 2015.

The full press release announcing 10/1/15 as the new compliance date can be found on the CMS website and read here: CMS ICD-10 Compliance Date Press Release

In the Year Ahead
We recommend that all health care professionals complete the conversion to ICD-10 and ensure the following:

  • If you use an electronic medical record, verify with your vendor that the system is ICD-10 compliant.
  • If you use a superbill form to document the patient visit, update the form to reflect both ICD-9 and ICD-10 diagnosis codes so you can become familiar with the ICD-10 equivalent.
  • Continue with ICD-10 coding and documentation training for your clinical staff and medical coders.
  • Focus on adding greater specificity to clinical documentation. In your clinical notes, indicate location or laterality, encounter type, acute versus chronic, degree of illness, and more.

Additional ICD-10 Training and Information

Select the Cigna-HealthSpring ICD-10 Frequently Asked Questions (FAQ) link for common questions and answers concerning how Cigna-HealthSpring is handling the conversion from ICD-9 to ICD-10. A short summary of the information offered on this site can be viewed (or printed for reference) here.

Select any of the links below for additional information on ICD-10. Check back periodically as new content is added to this site.

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