Who has to upgrade to ICD-10?
All HIPAA “covered entities” will have to convert to ICD-10 as it is a HIPAA code set requirement. This means providers, including physicians, which are HIPAA covered entities must comply with this requirement.
It is important to note, however, that claims for services provided before October 1, 2014, must use ICD-9 diagnosis and inpatient procedure codes.
What is the difference between ICD-10-CM and ICD-10PCS?
There are 2 ICD-10 code sets. ICD-10-CM is the International Classification of Diseases, Clinical Modification relates to diagnosis coding. All healthcare providers
will use ICD-10 for diagnosis coding. ICD-10-PCS is International Classification of Diseases, Procedure Coding System. Only facilities will be using ICD-10-PCS to
report inpatient procedures. Physician practices will continue to use CPT codes to report their performed services.