HIPAA 5010 and ICD10

HIPAA 5010 AND ICD10

On January 15, 2009 the US Department of Health & Human Services issued two final rules for adoption:

• An updated HIPAA X12 standard, version 5010, for electronic transactions with a compliance date of January 1, 2012. The updated format has more than 1300 changes to the 4010 standard. (with 600+ just for claims).
• Adoption of the ICD-10 Code Sets with a compliance date of October 1, 2013 dates of service. (version 5010 accommodates the ICD10 code structure; 4010 does not)

Coventry Health Care, Inc. is on track to meet the compliance requirements for the federally mandated HIPAA 5010 version transactions for 1/1/2012 and to be able to accept ICD-10-CM & PCS Codes for dates of service on or after 10/1/2013.

For your convenience, Coventry has separated out the information, updates and links available for 5010 and ICD10 in the document library below: