Health Insurance Portability Act
Health Insurance Portability Act
The ICD-10-CM Compliance date is
October 1st, 2015
Payers will only accept claims with ICD-10 codes with dates of service (or dates of discharge) on or after October 1st, 2015. Payers will deny claims with invalid codes based on the date of service or discharge. ICD-9 codes will be accepted on claims with dates of service (or dates of discharge) through September 30th, 2015.
The transition to ICD-10 is required for everyone covered by the Health Insurance Portability Act (HIPAA). Please note, the change to ICD-10 does not affect CPT or HCPCS Level II coding for outpatient procedures and physician services.
Major Differences Between
ICD-9-CM & ICD-10-CM
Comparison of ICD-9-CM
& ICD-10-CM
ICD-9-CM Code
A – Category of code
B – Etiology, anatomical site, and the manifestation
XXX.XX
A B
ICD-10-CM Code
A – Category of code
B – Etiology, anatomical site, and/or severity
C – Extension
7th character for obstetrics, injuries, and external causes of injury
XXX.XXXX
A B C
Examples of ICD-9-CM vs
& ICD-10-CM
| Description | ICD-9 code | ICD-10 code |
| Chronic motor or vocal tic disorder | 307.22 | F95.1 |
| Psychotic disorder with delusions | 293.81 | F06.2 |
| Mood disorder due to known physiological condition unspecified | 293.83 | F06.30 |
| Unspecified schizophrenia unspecified | 295.90 | F20.9 |
| Schizoaffective disorder, unspecified | 295.70 | F25.9 |
Let’s Review some ICD-10-CM
Psychiatric Conditions
DSM-V
Psychiatrists generally state diagnoses in accordance with the nomenclature used in the Diagnostic and Statistical Manual of Mental Disorders.
