FAQs

CLICK HERE for ICD-10 FAQs
on Testing, Billing Impacts & many more topics

ID	FAQ
ICD10	What if a claim spans the date of service of October 1, 2015?
ICD11	How should a DRG Inpatient claim be coded if the admission is prior to October 1, 2015, but the patient is discharged on or after October 1, 2015?
ICD22	Are there limits to testing with eMedNY for ICD-10 testing?

Training from other Sources

WHO: ICD-10 Online Training

eMedNY
LISTSERV® Medicaid Updates

International Classification of Diseases, Tenth Revision

Important ICD-10 Changes in October 2020

Important Announcements and ICD-10 Updates

Updated Lists of Valid ICD-10-CM and PCS Codes for 2021

CMS has posted updated 2021 ICD-10-CM and 2018 ICD-10-PCS codes to be used for from October 1, 2020 through September 30, 2021.

The 2021 ICD-10-CM files contain information on the ICD-10-CM updates for FY 2021.

The 2021 ICD-10 Procedure Coding System (ICD-10-PCS) files contain information on the ICD-10-PCS updates for FY 2021.

Note: There is no GEMs file. As stated in the FY 2016 IPPS/LTCH PPS final rule (80 FR 49388), the GEMs have been updated on an annual basis as part of the ICD-10 Coordination and Maintenance Committee meetings process and will continue to be updated for approximately 3 years after ICD-10 is implemented.

Updated Lists of Valid ICD-10-CM and PCS Codes for 2018

CMS has posted updated 2018 ICD-10-CM and 2018 ICD-10-PCS codes to be used for from October 1, 2017 through September 30, 2018.

The complete list of the 2018 ICD-10-CM valid codes and code titles are in the 2018-ICD-10-Code-Dedcriptions.zip on the 2018 ICD-10-CM and GEMs web pages.

See the file named "icd10cm_codes_2018.txt" in the ZIP file for the list of 71,704 Diagnosis Codes and Headers.

In "icd10cm_codes_addenda_2018.txt file", there are

360 Added Diagnosis Codes
142 deletions
226 revisions

A list of the updated 2018 ICD-10-PCS valid codes and code titles is available in the 2018 ICD-10-PCS Codes ZIP File on the CMS 2018 ICD-10 PCS and GEMs web page. See the file named "icd10pcs_codes_2017.txt" in the ZIP file for the list.

A summary of updates for PCS Codes is found in the 2018 Version Update Summary ZIP File on the same page.

Updated List of Valid ICD-10-CM Codes for 2017

CMS has posted 2017 ICD-10-CM codes to be used for discharges and for patient encounters occurring from October 1, 2016 through September 30, 2017.

The complete list of the 2017 ICD-10-CM valid codes and code titles are in the 2017 Code Descriptions in Tabular Order ZIP file on the 2017 ICD-10-CM and GEMs web page.See the file named "icd10cm_codes_2017.txt" in the ZIP file for the list.

There are 71,486 codes in "icd10cm_order_2017.txt", covering

1974 additions
311 deletions
425 revisions

Updated List of Valid ICD-10-PCS Codes for 2017

A list of the updated 2017 ICD-10-PCS valid codes and code titles is available in the 2017 PCS Codes ZIP File on the CMS 2017 ICD-10 PCS and GEMs web page. See the file named "icd10pcs_codes_2017.txt" in the ZIP file for the list.

A summary of updates for PCS Codes is found in the 2017 Version Update Summary ZIP on the same page.

There are 75,789 codes in "icd10pcs_codes_2017.txt", covering

3827 additions
12 deletions
491 revisions

The 2017 General Equivalence Mappings (GEMs) will be posted to CMS.gov in August 2016.

eMedNY 2017 ICD-10 Update Testing is Now Open

Since July 28, 2014, eMedNY has provided the Provider Testing Environment (PTE) for submitters to test Medicaid claims with ICD-10 diagnosis codes and inpatient hospital claims that utilize ICD-10 procedure codes.

CLICK HERE TO LEARN HOW TO TEST

VIDEOS

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Introduction to ICD-10 Coding