Codes and Billing: ICD-10
April 2014 APNA NEWS
While the DSM-5 has been out and in use since May 2013, there may be some confusion about the two sets of ICD-CM codes for diagnoses that the DSM-5 contains: ICD-9-CM codes and ICD-10-CM codes, especially given a new law. On Tuesday, April 1, 2014, the President signed a into law a bill requiring the federal government to delay the adoption of ICD-10-CM codes for at least one year. This delay is specific to the ICD, not the DSM-5, and concerns the transition from ICD-9-CM to ICD-10-CM.
Currently, clinicians can use the ICD-9-CM codes and should do so up until the ICD-10-CM codes have been implemented. This transition is now anticipated for October 1, 2015, as opposed to the original October 1, 2014 date. When the transition is made, clinicians will still be able to use the current DSM-5, as the ICD-10-CM codes are in this version. Payers cannot go to ICD-10-CM until October 2015, but they should prepare for the change. The DSM-5 also includes coding notes for each diagnosis, which draw the clinician’s attention to potential differences between the ICD-9-CM and ICD-10-CM codes.