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

$447.50 / year

The 2016 update of the Centers for Medicare and Medicaid Studies (CMS) public domain one-to-one applied reimbursement mappings of the ICD-10-CM (diagnosis) and ICD-10-PCS (procedure) code systems to the ICD-9-CM Volume 1 (diagnosis) and ICD-9-CM Volume 3 (procedure) code systems respectively. These 2016 ICD-10-PCS codes are to be used for discharges occurring 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 procedure coded in ICD-10-PCS for all provider types. The Reimbursement Mappings were created to provide a temporary but reliable mechanism for mapping records containing ICD-10 procedure codes to “MS-DRG reimbursement minimum impact” ICD-9 procedures, 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 procedure codes submitted on the claim are mapped via the procedure Reimbursement Mapping into ICD-9 procedure 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

Never

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

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

NameDescriptionTypeConstraints
ICD10PCS_Code3- or 7-digit ICD 10 PCS code 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
ICD9PCS_Code2- or 5-digit ICD 9 CM code that uniquely identifies an illness.stringrequired : 1
ICD9PCS_2_Code4- or 5-digit ICD 9 CM code that uniquely identifies an illness.string-
ICD9PCS_3_Code4- or 5-digit ICD 9 CM code that uniquely identifies an illness.string-
ICD9PCS_4_Code4- or 5-digit ICD 9 CM code that uniquely identifies an illness.string-
ICD9PCS_5_Code4- or 5-digit ICD 9 CM code that uniquely identifies an illness.string-
ICD9PCS_6_Code4- or 5-digit ICD 9 CM code that uniquely identifies an illness.string-
ICD10PCS CodeICD9 ICD10 Codes Maps ToICD9PCS CodeICD9PCS 2 CodeICD9PCS 3 CodeICD9PCS 4 CodeICD9PCS 5 CodeICD9PCS 6 Code
00160701231
00160711231
00160721232
00160731232
00160741233
00160751234
00160761234
00160771235
00160781239
001607B1222