Others 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
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
ICD-10 CM to ICD-9 CM Procedure Codes Reimbursement Mappings 2016
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.
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Description
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. The Reimbursement Mappings are no longer updated by CMS.
About this Dataset
Data Info
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 |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
ICD10PCS_Code | 3- or 7-digit ICD 10 PCS code that uniquely identifies an illness. | string | unique : 1 |
ICD9_ICD10_Codes_Maps_To | Number of ICD-9 codes this ICD-10 code maps to. Values 1 through 6. | integer | level : Nominal |
ICD9PCS_Code | 2- or 5-digit ICD 9 CM code that uniquely identifies an illness. | string | required : 1 |
ICD9PCS_2_Code | 4- or 5-digit ICD 9 CM code that uniquely identifies an illness. | string | - |
ICD9PCS_3_Code | 4- or 5-digit ICD 9 CM code that uniquely identifies an illness. | string | - |
ICD9PCS_4_Code | 4- or 5-digit ICD 9 CM code that uniquely identifies an illness. | string | - |
ICD9PCS_5_Code | 4- or 5-digit ICD 9 CM code that uniquely identifies an illness. | string | - |
ICD9PCS_6_Code | 4- or 5-digit ICD 9 CM code that uniquely identifies an illness. | string | - |
Data Preview
ICD10PCS Code | ICD9 ICD10 Codes Maps To | ICD9PCS Code | ICD9PCS 2 Code | ICD9PCS 3 Code | ICD9PCS 4 Code | ICD9PCS 5 Code | ICD9PCS 6 Code |
0016070 | 1 | 231 | |||||
0016071 | 1 | 231 | |||||
0016072 | 1 | 232 | |||||
0016073 | 1 | 232 | |||||
0016074 | 1 | 233 | |||||
0016075 | 1 | 234 | |||||
0016076 | 1 | 234 | |||||
0016077 | 1 | 235 | |||||
0016078 | 1 | 239 | |||||
001607B | 1 | 222 |