ICD-10 Frequently Asked Questions

Our highest priority is to deliver quality patient care through teamwork and exceptional laboratory services. Leading up to and throughout the launch of ICD-10, we strive to make the transition as smooth as possible for you and your practice. Please consult the list of frequently asked questions below.

What is the effective date for transitioning to ICD-10?
Starting October 1, 2015, all coding should follow ICD-10.

Do I need to implement ICD-10? Who is affected?
Yes, all health care providers are required to use the ICD-10 code set for diagnostic coding and inpatient procedures by the compliance date. This includes all entities covered under HIPPA, not just Medicaid or Medicare claims.

What will happen if an ICD-9 code is provided after October 1st, 2015?
If an ICD-9 code is supplied and it directly crosses over to an ICD-10 code, AP2 laboratories will convert the code to ICD-10. However, if the code does not directly cross over to ICD-10, AP2 laboratories will contact the client to obtain an accurate diagnosis code.

Do we get paid for implementing ICD-10?
No, the implementation of ICD-10 is required for all health care providers by law and no monetary incentive is given to laboratories or users.

Will ICD-10 change or replace CPT (Current Procedural Terminology) coding?
No, the change does not affect CPT coding.

Why is the transition to ICD-10 happening?
Because ICD-9 codes are 30 years old, their content is outdated. The terms used in ICD-9 are obsolete and some are inconsistent with current medical practice. Since several countries have already switched to ICD-10 coding, the transition will help keep U.S. healthcare diagnoses data compatible internationally.

What is the benefit of changing to ICD-10?
In addition to being outdated in content, the structure of the current ICD-9 coding limits the number of new codes that can be added for each category. Over time many categories have been filled and there is no longer room for more detailed diagnoses to be added. With more categories, physicians will be able to select more precise codes for each patient. Overall, the successful transition to ICD-10 coding will help improve our healthcare system by making our coding more specific and accurate.

Will there be more ICD-10 codes than ICD-9 codes?
Yes, there will be more ICD-10 codes. But with more codes, physicians will be more equipped with codes that more accurately define each patient. The specificity gained in the ICD-10 transition will be of great value to physicians.

Where can I find more information regarding the ICD-10 codes?
Further information on ICD-10 can be found on the Centers for Medicare & Medicaid Services website, www.cms.gov, or your insurance provider's website.

Who at AP2 laboratories will handle questions regarding the ICD-10 transition?
If you have questions regarding the ICD-10 transition for any of the AP2 laboratories (UniPath, PBP or ECP) you may contact Beth Butler, Director of Revenue Cycle, at bbutler@ap2.com.

Back to Top