EDI Simplified is Ready for ICD-10

Transition to ICD – 10

ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases.

ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) provided by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), for medical coding and reporting in the United States. The ICD-10-CM is a morbidity classification for classifying diagnoses and reason for visits in all American health care settings. The ICD-10-CM is based on the ICD-10, the statistical classification of disease published by the World Health Organization (WHO) which replaces ICD-9.

The transition to ICD – 10 has been a real milestone for the healthcare industry whether it is a provider, a medical billing company, a vendor or a payer.

U.S. Department of Health and Human Services (HHS) has issued the rule on July 31, 2014 finalizing the new compliance date to be October 1, 2015 for the transition to ICD – 10 by healthcare providers, health insurances and plans and healthcare clearing houses. This will allow the stake holders in healthcare industry enough time to ensure that their systems are up and ready by October 1, 2015 for ICD – 10. ICD – 10 implementation deadlines have previously been extended from October 1, 2013 to October 1, 2014.

A recent survey conducted by EDI Simplified showed that few of the healthcare providers are not yet sure about what ICD – 10 is and how to use it. On the other hand, a number of them are ready but they do not know how to start and where to look.

Managing the work flow and revenue cycle management with ICD – 10 will not be an easy task. The handling of increasing complexity and volume would require efficient infra-structure, workforce and work flows to keep balance and precision. Not all the providers and payers will be ready to start submitting and receiving ICD – 10 straight away, so whether you fall in the first category or the second one mentioned above, with EDI Simplified by your side, you do not have to worry about the ICD – 10 transitions. Whether it is a conversion from ICD – 9 to ICD – 10 or from ICD – 10 to ICD – 9, our system is ready and sophisticated to help you in the transition. This means that:

  • We have been ready for ICD – 10 since July 2014
  • We can accept ICD – 9 and ICD – 10 codes in both 4010 and 5010 formats
  • We are ready for ICD – 10 testing with the providers so, if you are interested, give us a call and we will schedule the testing for you
  • We are ready for ICD – 10 testing with the payers and have notified leading commercial payers for the testing
  • We are planning to participate in end-to-end ICD – 10 testing with all jurisdictions of Medicare during the testing period of 2015

Contact Us


EDI Simplified LLC.

5151 Headquarters Drive, Suite 285
Plano, TX 75024
Tel: (844) 233-4360
Fax: (631) 994-7069
Email: info@edisimplified.com