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ICD-10: What's New

ICD-10: What's New

CMS Releases Next Steps ICD-10 Toolkit

To continue supporting providers with the ICD-10 transition, CMS has released a new provider toolkit. The Next Steps Toolkit includes information designed to help you assess your progress, address any negative assessment results, and maintain your progress. CMS has also released a helpful infographic to accompany the toolkit. Read more.

Please send all inquiries regarding this page or ICD-10 to the Health Policy team



CMS Releases ICD-10 Claims Data for October (11/12/2015)

CMS Releases ICD-10 Claims Data for October From Nov. 12: CMS released a fact sheet comparing Medicare claim processing numbers for the first 27 days of ICD-10. The factsheet shows that the number of denied claims is close to the historical baseline. Read more.

CMS Releases New ICD-10 Infographic (10/15/2015)

As physicians and practice management staff continue to adapt to ICD-10, the Centers for Medicare & Medicaid Services (CMS) has released an infographic ICD-10 coding reference sheet. Along with a quick overview of the new coding process, the infographic includes links to pertinent CMS resources. Read more.

ICD-10 Is Here (10/1/2015)

Today is the day of ICD-10 implementation. Visit the Academy's ICD-10 Coding Resources webpage for your implementation needs. Read more.

1 Week to ICD-10: Prepare with the Academy's Excel Alphanumeric Superbill (9/24/2015)

Use this convenient spreadsheet of common ENT codes designed to assist otolaryngology practices in quickly submitting complete procedure and diagnosis codes from a patient visit for reimbursement. Read more.

CMS Announces Policy for Orders Following ICD-10 Implementation (9/24/2015)

CMS announced that it is not requiring updated orders for lab, radiology services, or any other services after ICD-10 implementation on October 1. However, all claims will need to include a valid ICD-10-CM diagnosis code for services ordered after October 1. Read more.

2 Weeks to ICD-10: Prepare with this Miniseminar (9/17/2015)

View this recording of a Miniseminar presented at last year’s Annual Meeting that includes tips and resources for the transition to ICD-10. View the recording here.

CMS Clarifies ICD-10 Claims Issues Process (9/17/2015)

This past week, CMS announced that providers should contact their local Medicare Administrative Contractors (MACs) with ICD-10 claims issues. The ICD-10 Coordination Center will function as a second level of appeal for ICD-10 claims. The center is expected to begin operations by October 1. Read more.

3 Weeks to ICD-10: Prepare with the HP Update (9/10/2015)

Your member benefits include subscriptions to the monthly HP Update and newsletters that offer the latest information about ICD-10 changes. Keep an eye on your inbox and take advantage of these updates. Read more.

Is ICD-10 Ready for Launch? (9/3/2015)

With exactly one month to go until the Oct. 1 ICD-10 implementation date, the big question is whether or not the health-care industry is ready. Based on a recently completed week of end-to-end ICD-10 testing, the answer appears to be yes. Read more.

CMS Final ICD-10 End-to-End Testing Week a Success (9/3/2015)

July 20 – 24 marked this final end-to-end testing week. CMS systems demonstrated that they are ready to accept and process ICD-10 claims. Approximately 1,200 providers and billing companies participated, and testers submitted over 29,000 test claims. Read more.

4 Weeks to ICD-10: Prepare with the AAPC's ICD-10 Resources (9/3/2015)

You can access online training tools, webinars, and eCourses with your Academy membership. Read more. 

5 Weeks to ICD-10: Prepare with the CMS Lookup Tool (8/27/2015)

Bookmark this tool that allows you to keyword search for the appropriate ICD-10 code.

6 Weeks to ICD-10: Prepare with Improved Documentation Practices (8/20/2015)

Review this Bulletin article to help you determine what to focus on when improving the specificity of your documentation.

7 Weeks to ICD-10: Prepare by Communicating with Your Payers and Vendors (8/13/2015)

Use this list of questions prepared by the Academy to ensure a smooth transition to ICD-10 with your payers and vendors.

8 Weeks to ICD-10: Prepare with the Academy's ICD-9 to ICD-10 Crosswalk Chart (8/6/2015)

Consult this easy reference guide that lists commonly used ENT ICD-9-CM codes with their ICD-10-CM counterparts.

9 Weeks to ICD-10: Prepare with the Academy’s Sample ICD-10 ENT Superbills (7/30/2015)

View the updated sample ICD-10 superbill with over 120 additional ICD-10 codes relevant to otolaryngology and a new version with ICD-10 codes listed by anatomic/disease area

10 Weeks to ICD-10: Prepare with the AAO-HNSF's Coding and Practice Management Workshop (7/23/2015)

Learn new information and tips to be compliant with ICD-10 when you arrive early to the Annual Meeting to participate in ICD-10-CM for Otolaryngology on September 26, from 1:00 – 5:00 pm CT. Read more.

Academy Signs onto AMA ICD-10 Letter (3/9/2015)

The Academy along with several other organizations signed onto a letter sent by the American Medical Association (AMA) to the Centers for Medicare and Medicaid Services (CMS) urging CMS to publish further data on ICD-10 testing results, EHR vendor readiness, details on avoiding adverse impacts on quality measurement,  risk mitigation plans and more. View the Letter

Volunteer for ICD-10 Testing - Forms Due January 9 (3/9/2015)

During the week of April 26 through May 1, 2015, a second sample group of roughly 850 providers will have the opportunity to participate in ICD-10 end-to-end testing with Medicare Administrative Contractors (MACs) and the Common Electronic Data Interchange (CEDI) contractor. To apply as a volunteer, vist your regional MAC's website and submit a volunteer form through the MAC for your jurisdiction.


House of Representatives Leaders Issue Statement on ICD-10 (12/10/2014)

House Energy and Commerce Committee Chairman Fred Upton (R-MI) and House Rules Committee Chairman Pete Sessions (R-TX) recently issued a statement that they will continue to have close communications with the Centers for Medicare & Medicaid Services (CMS) regarding stakeholder preparedness for next year's ICD-10 transition. To view the statement, click here. 

ICD-10 Update (11/21/2014)

There has been concern among Academy members that another ICD-10 delay will be used by Congress as an incentive for another temporary patch fix to Medicare's flawed Sustaintable Growth Rate (SGR) formula.  For example, last March, Congress tried to lessen the disapproval of yet another SGR patch (and failed to enact real reform) with the current ICD-10 delay. At this point the AAO-HNS Government Affairs and Health Policy teams feel it is the best strategy to monitor all hill conversations pertaining to SGR repeal, the “extenders,” and ICD-10 delay before a specific action is taken and the Academy supports continued preparation.

November 17-21 is an ICD-10 Acknowledgement Testing Week (11/13/2014)

ICD-10 testing weeks have been scheduled by the Center for Medicare & Medicaid Services (CMS) to generate awareness and instill confidence in providers that CMS and Medicare Administrative Contractors (MACs) are prepared for ICD-10. While acknowledgement testing is available up until the October 1st 2015 deadline, MACs will have increased staff for helpdesk responses during testing weeks. MORE 

ICD-10 Miniseminar Slides Available Exclusively to Members (11/13/2014)

Miss the ICD-10 miniseminar at the Annual Meeting and OTO Expo? View the recording or the powerpoint slides below to learn how to prepare for the impending transition by the October 1, 2015 deadline.

HHS Issues Rule Finalizing October ICD-10 Compliance Date (7/31/2014)

On July 31, the U.S Department of Health and Human Services (HHS) issued a rule finalizing October 1, 2015 as the new compliance date for healthcare providers, health plans and healthcare clearinghouses to transition to ICD-10. This deadline allows ample time for otolaryngologists and other providers to catch up on preparation efforts. Click here to view the CMS press release

ICD-10 Implementation Date of October 1, 2015 Officially Confirmed by CMS (5/5/2014)

The new implementation date for the ICD-10 family of diagnostic and procedural codes will be Oct. 1, 2015. The Center for Medicare and Medicaid Services (CMS), through a spokeswoman, has announced the new effective date. The previous compliance deadline was Oct. 1, 2014, but Congress delayed that in passing another temporary “doc fix” measure. 

Accordingly, the U.S. Department of Health and Human Services expects to release an interim final rule in the near future that will include a new compliance date that would require the use of ICD-10 beginning Oct. 1, 2015. The rule will also require HIPAA-covered entities to continue to use ICD-9-CM through Sept. 30, 2015.

CMS planned to conduct ICD-10 testing during the week of July 21 through 25, 2014, to give a sample group of providers the opportunity to participate in end-to-end testing with Medicare Administrative Contractors (MACs) and the Common Electronic Data Interchange (CEDI) contractor. The July testing has been canceled due to the ICD-10 implementation delay. Additional opportunities for end-to-end testing will be available in 2015.

AMA Urges CMS to Reconsider ICD-10 Mandate in Letter to HHS (2/12/2014)

On February 12, the American Medical Association  sent a letter to the Department of Health and Human Services (HHS) claiming that ICD-10 impedes physician progress to a performance based environment and will be financially disastrous for physicians in small or large practices. Read the letter here

Report to AMA Reflects Costs of ICD-10 Transition Are Higher Than Original Forecast (2/12/2014)

On February 12, Nachimson Advisors, LLC provided an updated report to the American Medical Association with an updated forecast for the costs of ICD-10 for typical small, medium, and large group practices. The updated cost estimates are significantly higher than its original forecast based on a report in 2008. Click here to view the 2014 report.

Medical Group Management Association (MGMA) Research Shows Less than 10% Ready for ICD-10 (2/3/2014) 

The MGMA recently released a report that reflects that less than 10 percent of small practices are prepared for the ICD-10 transition. Read the report. 


Workgroup for Electronic Data Interchange's Survey Results Indicate Providers Not Ready for ICD-10 (4/11/2013)

On April 11, the Workgroup for Electronic Data Interchange (WEDI) sent a letter to the Department of Health and Human Services (HHS) arguing that based on its recent survey results,  the healthcare industry is not making enough progress to manage a smooth transition from ICD-9 to ICD-10 by October 2014. To view the letter, click here.

CMS Response Indicates ICD-10 Implementation Will Continue As Planned on October 1, 2014 (2/12/2013)

On February 12th, Marilyn Tavenner, Acting Administrator for the Center of Medicare and Medicaid Services (CMS), responded to the AMA's December 20, 2012 sign-on letter regarding ICD-10. The administration is declining the AMA's request to halt the implementation of ICD-10. Furthermore, the administration has determined that it will move forward with the implementation date of October 1, 2014. To view the letter, click here.


Academy Signs on to ICD-10 Sign-on letter Advocating to Halt ICD-10 Implementation (12/20/2012)

On December 20, 2012, the Academy along with numerous other physician associations and organizations signed on to a letter to the Acting Administrator at the Center for Medicare / Medicaid Services (CMS) to halt the implementation of the ICD-10 code set as a necessary step for removing regulatory burden from physicians and ensuring that small physician practices are able to keep their doors open. To view the letter, click here.

ICD-10 UPDATE: HHS Finalizes October 1, 2014 as ICD-10 Compliance Deadline (8/24/2012)

On Friday August 24th, The Department of Health and Human Services (HHS) finalized its proposed rule that among other things, establishes a unique health plan identifier (HPID) requirement for health plans and delays the ICD-10 compliance deadline to October 1, 2014.  For further details, see HPA's summary of the final rule (member login required).