CMS ICD-10 Lookup Tool

2018 ICD-10 Updates

As a reminder, effective October 1, 2017, the 2018 ICD-10-CM updates are in effect (October 1, 2017 through September 30, 2018). Providers should be coding to the highest level of specificity per the 2018 ICD-10-CM updates. If an ICD code is entered that has been updated and/or now requires more specificity, suggestions for a more specific code will be displayed as shown below.

Example of previously valid code:

Z36 Encounter for antenatal screening of mother


Examples of 2018 valid codes within the Z36 category are:

Z36.0 Encounter for antenatal screening for chromosomal anomalies
Z36.1 Encounter for antenatal screening for raised alphafetoprotein level
Z36.2 Encounter for other antenatal screening follow-up

A complete list of the 2018 ICD-10-CM valid codes and code titles is posted on the CMS website at: https://www.cms.gov/Medicare/Coding/ICD10/2018-ICD-10-CM-and-GEMs.html.

ICD-10 Specificity Update

Effective October 1, 2016. Medicare ICD-10 flexibilities have expired. Providers should be coding to the highest level of specificity and also avoiding the use of unspecified ICD-10 codes whenever the clinical documentation supports a more detailed code. If you attempt to use unspecified codes when ordering via PathConnect the order with be rejected.

A complete list of the 2016 ICD-10-CM valid codes and code titles is posted on the CMS website at: https://www.cms.gov/Medicare/Coding/ICD10/2016-ICD-10-CM-and-GEMs.html.

If you have questions about how to code correctly using ICD-10, please visit the Provider Resources section of the CMS ICD-10 website.

Status Update: October 1, 2015

The Centers for Medicare and Medicaid Services (CMS) mandated conversion to the International Classification of Diseases 10th Revision (ICD-10) will go into effect October 1, 2015. For proper claims processing on October 1 and after, it is essential that clients submit the most accurate and complete ICD-10 diagnosis code(s) to avoid incident. Claims encoded using the ICD-9 code set for services performed after October 1 will not be accepted.

PathGroup has worked diligently to update all systems in an effort to facilitate a smooth transition on October 1. Though PathGroup anticipates minimal to no issues with the transition to ICD-10, we will communicate any identified issues that appear to affect all users as quickly and efficiently as possible.

If you have questions or issues related to PathConnect or your ordering interface effective October 1, please submit a TrackIT ticket with “ICD-10” in the subject line to help@pathgroup.com – this will expedite your request. Once received, your inquiry will be logged, tracked and assigned to the appropriate department for follow-up and resolution.

Clinical Laboratories are required to submit accurate and complete diagnosis codes to payers. The new ICD-10 clinical modification introduces greater specificity in code assignment, expanded injury codes, flexibility to add new codes, and more. Claims submitted with inaccurate or incomplete diagnosis coding may result in denials, creating additional time and labor from all parties to resolve. PathGroup relies on ordering physicians to submit appropriate diagnosis codes for all laboratory services requested. For proper claims processing on and after October 1, it is essential that the most accurate and complete ICD-10 diagnosis codes is filed to avoid incident.

With our clients and patients in mind, we remain focused on executing a seamless conversion and uninterrupted service. For further questions, please contact Client Services at 615-562-9300 or 1-888-474-5227.

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