Payer Resources

The transition to ICD-10, will involve new coding rules, so it will be important for payers to review payment policies.  The new deadline to transition is October 1, 2014, prepare now! 

View the ICD-10 FAQs to learn more about the transition.

Payers should:
• Be using a Version 5010 software solution for all electronic health care transactions.  
• Have an ICD-10 implementation plan and a transition budget in place.
• Download our timeline widget or view the printer-friendly version of the payer implementation timeline to help prepare for the ICD-10 transition.  

Implementation Guide

CMS has developed an Implementation Guide to assist with your transition from ICD-9 to ICD-10 codes. The guide provides detailed information for planning and executing the ICD-10 transition process. Use the guide as a reference whether you're in the midst of the transition or just beginning.

The handbook appendix has templates that are available for download in both Excel and PDF files.  The templates are customizable and have been created to help payers clarify staff roles, set internal deadlines/responsibilities, and assess vendor readiness.

Please note the widget and timelines can be used to calculate how long specific ICD-10 transition activities will take. The handbooks provide detailed information on transition activities for payers. Dates in the widget, timelines, and handbooks are based on an October 1, 2013, deadline, which HHS extended to October 1, 2014.