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ICD-9 is it still being used?

Since Risk Adjustment is a retrospective process, CRC coders will still be using ICD-9-CM until 2017.

The HIPAA transaction and code set standards only apply to electronic transactions conducted by covered entities. Other entities, such as employers or casualty insurance plans, may decide to use them voluntarily but are not required to do so. However, CMS will not maintain ICD-9-CM after ICD-10 is implemented.

Because ICD-9-CM will no longer be maintained after ICD-10-CM/PCS is implemented, it is in non-covered entities’ best interest to use the new coding system. The increased detail in ICD-10-CM/PCS is of significant value to non-covered entities. The Centers for Medicare & Medicaid Services (CMS) will work with non-covered entities to encourage them to use ICD-10-CM/PCS.

Non-covered entities such as worker’s compensation, disability and auto insurers that are not required to switch.

Generally, if the non-covered entities don’t want to switch to ICD-10 coding, they don’t have to and can require healthcare providers to submit medical claims with ICD-9 codes.

Since Risk Adjustment is a retrospective process, CRC coders will still be using ICD-9-CM until 2017.


The HIPAA transaction and code set standards only apply to electronic transactions conducted by covered entities. Other entities, such as employers or casualty insurance plans, may decide to use them voluntarily but are not required to do so. However, CMS will not maintain ICD-9-CM after ICD-10 is implemented.


Because ICD-9-CM will no longer be maintained after ICD-10-CM/PCS is implemented, it is in non-covered entities’ best interest to use the new coding system. The increased detail in ICD-10-CM/PCS is of significant value to non-covered entities. The Centers for Medicare & Medicaid Services (CMS) will work with non-covered entities to encourage them to use ICD-10-CM/PCS.


Non-covered entities such as worker's compensation, disability and auto insurers that are not required to switch.

Generally, if the non-covered entities don't want to switch to ICD-10 coding, they don't have to and can require healthcare providers to submit medical claims with ICD-9 codes.

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