ICD-10 CM to ICD-9 CM Diagnosis Codes Reimbursement Mappings 2016

$447.50 / year

This dataset shows the ICD-10 (International Classification of Diseases), CM (Clinical Modification), 10th Edition 2016 to ICD-9 CM Diagnosis Codes Reimbursement Mappings. That is a replacement for ICD-9-CM, Volumes 1 and 2. These 2016 ICD-10-CM codes are to be used for services provided from October 1, 2015 through September 30, 2016.

Complexity

After the ICD-10 implementation date as specified in the Final Rule, healthcare claims for services on or after the implementation date will be submitted to payers with diagnoses coded in ICD-10-CM for all provider types. The Reimbursement Mappings were created to provide a temporary but reliable mechanism for mapping records containing ICD-10 diagnosis and procedure codes to “MS-DRG reimbursement minimum impact” ICD-9 diagnosis, so that while systems are being converted to process ICD-10 claims directly, the claims may be processed by the legacy systems.
The ICD-10 diagnosis codes submitted on the claim are mapped via the Diagnosis Reimbursement Mapping into ICD-9 diagnosis codes that can then be processed by the ICD-9-based reimbursement system. The claim may then be priced using the rules written for ICD-9 codes.

Date Created

2015-10-01

Last Modified

2015-10-08

Version

2015-10-08

Update Frequency

Annual

Temporal Coverage

2015-10-01 to 2016-09-30

Spatial Coverage

United States

Source

John Snow Labs => Centers for Medicare and Medicaid Services

Source License URL

John Snow Labs Standard License

Source License Requirements

N/A

Source Citation

N/A

Keywords

Clinical Software, CCS, Clinical Classifications Software, Clinical Classifications Software for Services and Procedures, Code Book, ICD-10-CM Definition, ICD-10-CM Book, ICD-10-CM Manual, ICD-10-CM and ICD-10-PCS Coding Handbook, ICD 10 Codes List, ICD 10 Procedure Code, ICD 10 Codes, ICD Codes

Other Titles

ICD-10-CM to ICD-9-CM Diagnosis Codes Reimbursement Mappings Clinical Software, ICD-10-CM to ICD-9-CM Diagnosis Codes Reimbursement Mappings CCS, ICD-10-CM to ICD-9-CM Diagnosis Codes Reimbursement Mappings Clinical Classifications Software

NameDescriptionTypeConstraints
ICD10CM_CodeICD-10 code (3 to 7 characters) left justified in an 8-character field that uniquely identifies an illness.stringunique : 1
ICD9_ICD10_Codes_Maps_ToNumber of ICD-9 codes this ICD-10 code maps to. Values 1 through 6.integerlevel : Nominal
ICD9CM_CodeFirst ICD-9 code (2 to 5 characters) left justified in a 6-character field that uniquely identifies an illness.string-
ICD9CM_2_CodeICD 9 CM code that uniquely identifies an illness.string-
ICD9CM_3_CodeICD 9 CM code that uniquely identifies an illness.string-
ICD9CM_4_CodeICD 9 CM code that uniquely identifies an illness.integerlevel : Nominal
ICD10CM_CodeICD9_ICD10_Codes_Maps_ToICD9CM_CodeICD9CM_2_CodeICD9CM_3_CodeICD9CM_4_Code
A351037
A461035
A901061
B201042
B751124
B911138
C551179
C581181
C611185
C731193