In an effort to help healthcare providers, payers, and vendors meet HIPAA 5010 and ICD-10, CMS has released detailed timeline widgets that are available for download for large providers, small providers, payers, and vendors. The widgets cover some of the essential activities that is needed to successfully make the transition to Version 5010 and ICD-10, as well as the estimated total duration needed.
It is important to note that every organization is unique, so these specific action items and duration included in the timeline widgets may not be completely applicable to your organization. For organizations who are already underway in their transition to Version 5010 and ICD-10, these timeline widgets can serve as great reference materials and as talking points with key stakeholders.
Timeline Widget Downloads:
Large Providers Compliance Timeline [PDF, 1,328KB]
Small Providers Compliance Timeline [PDF, 1,1136KB]
Payers Compliance Timeline [PDF, 1,305KB]
Vendors Compliance Timeline [PDF, 908KB]
The following is a list of the key date and compliance steps for Version 5010 and ICD-10:
Date | Compliance Step |
|---|---|
January 1, 2011 | • Payers and providers should have begun external testing of Version 5010 for electronic claims • CMS has begun accepting Version 5010 claims • Version 4010 claims continue to be accepted |
December 31, 2011 | • External testing of Version 5010 for electronic claims must be complete to achieve Level II Version 5010 compliance |
January 1, 2012 | • All electronic claims must use Version 5010 • Version 4010 claims are no longer accepted |
December 31, 2011 | • External testing of Version 5010 for electronic claims must be complete to achieve Level II Version 5010 compliance |
January 1, 2012 | • All electronic claims must use Version 5010 • Version 4010 claims are no longer accepted |
October 1, 2013 | • Claims for services provided on or after this date must use ICD-10 codes for medical diagnosis and inpatient procedures • CPT codes will continue to be used for outpatient services |
