HIPAA 5010 and ICD10

Free code conversion tool

ICD-10-PCS Coding

Crosswalks for the Top 50 Codes by Specialty

On January 15, 2009 the US Department of Health & Human Services issued two final rules for adoption:

An updated HIPAA X12 standard version 5010 for electronic transactions, with a compliance date of January 1, 2012. The updated format has more than 1300 changes to the 4010 standard (with 600+ just for claims).

Adoption of the ICD-10 Code Sets with a compliance date in October  2015 (version 5010 accommodates the ICD-10 code structure; 4010 does not).

Aetna Better Health met the compliance requirements for the federally mandated HIPAA 5010 version transactions for 1/1/2012 and is on track to be able to accept ICD-10-CM & PCS Codes for dates of service for October 2015.

Online ICD-10 Resources

Road to 10: The Centers for Medicare and Medicaid Services (CMS) has created a website that's a great resource for small physician practices and specialty practices.

Crosswalks for the Top 50 Codes by Specialty at the AAPC website

100 Tips for ICD-10-PCS Coding at icd10monitor.com

Free code conversion tool from icd10monitor.com

For your convenience, Aetna Better Health has added additional information, updates and links available for 5010 in the document library.