ICD-10

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ICD-10 Background

The International Classification of Diseases (ICD) is the international standard diagnostic classification for general epidemiological, health management, and clinical use.  As part of HIPAA Administrative Simplification, the United States HHS mandated that all health care entities upgrade diagnosis (ICD-9-CM) and inpatient procedure codes (ICD-9-PCS) to ICD-10-CM and ICD-10-PCS, respectively. The ICD-10 code set is a full replacement of the ICD-9 code set that will provide additional granularity for diagnosis and procedure codes.

On August 24, 2012, the compliance date for this upgrade was delayed from October 1, 2013, to October 1, 2014.  All discharges and services provided on or after this compliance date must use ICD-10 codes. To view the final rule (PDF*)

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MaineCare ICD-10 Project Information                                 

MaineCare is actively preparing its employees, processes and systems for the transition to ICD-10.  In the fall of 2012, MaineCare initiated its remediation efforts to achieve ICD-10 compliance on October 1, 2014.  We will provide regular updates on the progress of our transition.  For more information, visit Frequently Asked Questions.

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Regional Public Forums

MaineCare hosted regional forums for providers about ICD-10 during the week of March 10th. The purpose of the forums were to help Maine's provider community get ready for the ICD-10 transition and answer any questions. Each forum consisted of a presentation about ICD-10. Topics included explanation of ICD-10, how it will impact providers, what providers can do to prepare, and a Q&A session.

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Provider Informational Series

MaineCare recently completed analyzing the results of our ICD-10 Provider Readiness Survey. As a result of feedback from survey participants, MaineCare has developed an ICD-10 Informational Series for providers in order to share information and to direct you towards preparing for transitioning from ICD-9 to ICD-10.

The informational series will include the following parts or topics:

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Provider - Specific Fact Sheets

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Provider Presentation Materials

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Additional Information

Contact Us

Do you have questions about ICD-10? An ICD-10 e-mail box is available specifically for your ICD-10 related questions.

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