ICD-10, Dual Coding, and Dual Processing
Compliance date is October 1, 2015
Discussions of ICD-9 and ICD-10 often include mention of the terms dual processing and dual coding. Different people use these terms to mean different things, but in general, dual coding or processing refers to the use of ICD-9 and ICD-10 codes at the same time. So, when can you expect to use dual coding and processing and when can't you?
Dual coding and dual processing can be useful tools to prepare for ICD-10 by testing whether you are able to prepare, send, receive, and process transactions with ICD-10. However, ICD-10 can be used for testing purposes only before the compliance date; providers and payers cannot use ICD-10 in "live" transactions for dates of service before the ICD-10 compliance date.
Following the ICD-10 compliance date, providers and payers must use:
- ICD-9 in transactions for services provided before the compliance date
- ICD-10 in transactions for services provided on or after the compliance date
While providers and payers must be able to use both ICD-9 and ICD-10 codes after the compliance date to accommodate backlogs in claims and other transactions, they will not be able to choose to use either ICD-9 or ICD-10 for a given transaction. The date of service determines whether ICD-9 or ICD-10 is to be used.
References: Centers for Medicare & Medicaid Services (firstname.lastname@example.org)
Road to 10
ICD-10 Webcasts (CMS)
5 Things to "Jump Start" Your Transition
- Convert your top 20 ICD-9 codes
- Create documentation training aids
- Perform simple chart reviews
- Collect answers to key vendor and payer questions (see Talking to Vendors article below)
- Develop an overall project strategy that creates deadlines and accountabilities
Now Is The Time to Ensure Proper ICD-10 Coding: Coding for Obstetrics and Related Conditions
CMS ICD-10 Implementation Video
Transitioning to ICD-10 Video
AMA White paper June 2010 - icd-10-transition.pdf
FAQs ICD-10 Transition Basics
Ten Steps to Prepare
Medscape Transition Videos:
The following are provided by Medscape Education and are available to anyone who registers with Medscape at no cost.
ICD-10: A Guide for Small and Medium Practices
ICD-10: A Guide for Large Practices
Transition to ICD-10: Getting Started
Reference Guides (by Specialty) AAPC
American Academy of Professional Coders (AAPC) has created these coding resources to help you make the transition to the new system. These complimentary sheets can be downloaded and make great desk references for your specialty practice.
OB-GYN Quick Reference ICD-10
CMS Resources and Tools to help with the ICD-10 transition
ICD10 Talking to Vendors
September 2012 Article
Updated ICD-10 Implementation Information
ICD-10 Implementation Guide for Small and Medium Practices. (October 2011)
ICD-10 Implementation Guide for Large Practices. (October 2011)
ICD-10 Myths and Facts
- Resources to help you prepare for the U.S. health care industry's change from ICD-9 to ICD-10 for medical diagnosis and inpatient procedure coding
- Links to CMS Version 5010 information
This fact sheet provides background on the ICD-10 transition, general guidance on how to prepare for it, and resources for more information.
ICD10 Intro Fact Sheet
Begin preparing now for the ICD-10 transition to make sure you are ready by the October 1, 2013, compliance deadline. The following quick checklist will assist you with preliminary planning steps.
ICD10 Medical Practices Basics
Your vendors can provide you with details about what you need to comply with Version 5010 standards, which replace the Version 4010/4010A standards currently used for electronic transactions. Unlike Version 4010/4010A standards, Version 5010 accommodates the ICD-10 code sets that become effective in 2013.
ICD10 Talking to Your Vendor: For Medical Practices
Preparing for the Conversion From ICD-9 to ICD-10. What You Need to Be Doing Today.
ICD10 Preparing for The Conversion
ICD10 Quick Reference Information