ICD10 | Providers – Amerigroup

Transition to ICD-10 is here!

The transition from ICD-9 to ICD 10 went into effect on October 1, 2015. To help ensure you are in compliance, here are some things to remember:

  • Make sure your practice management system and/or billing system is ICD-10 ready. Talk with your vendor about the support and services you might need to be compliant for ICD-10.
  • There is no need to memorize all of the new ICD-10 diagnosis. If you are not an inpatient facility, you only need to be concerned with the most common medical conditions your practice sees today and understand how ICD-10 impacts them.
  • If you rarely see a particular ailment, there’s no need to memorize it or convert it to the ICD-10 equivalent diagnosis code on your paper super bill or problem list in your electronic medical record.
  • If your practice treats a wide range of medical conditions use the 80/20 rule to determine which diagnosis ICD-10 codes are most pertinent. This would include family practice, pediatric medicine, or internal medicine.

The Centers for Medicaid and Medicare Services (CMS) offers the “Road to ICD-10” – a comprehensive tool where you can explore common codes, primers for clinical documentation, clinical scenarios, and additional resources associated by specialty. Visit www.roadto10.org to find information for:

Did you know you also have the opportunity to earn continuing medical education (CME) credits from your preparation for ICD-10?

CMS, through Medscape Education, has released two ICD-10 video lectures and an expert article providing practical guidance for the ICD-10 transition. The video lectures are specifically for physicians, while the article covers more general topics for all health care providers. CME credits are available to physicians who complete the modules, and anyone who completes them can receive a certificate of completion. The modules are free and can be found on their website.

Questions or

If you have questions or need help with any other item, contact your local Provider Relations representative or call Provider Services at the toll-free phone numbers listed below:

Medicaid providers call

Medicare providers call

ICD-10 Resources

We also encourage all providers to check with CMS and any professional, clinical and trade associations in which you may be affiliated for a wide variety of ICD-10 information, educational resources, checklists and updates to assist you with this transition.

Web Resources