Skip to Main content

ICD-10 timeline

April 2014

With enactment of the Protecting Access to Medicare Act of 2014, CMS is examining the implications of the ICD-10 provision and will provide guidance to providers and stakeholders soon. The provision in the statute reads as follows: “The Secretary of Health and Human Services may not, prior to October 1, 2015, adopt ICD-10 code sets as the standard for codes sets under section 1173 (c) of the Social Security Act (42 U.S.C. 1320d-2 (c)) and section 162.1002 of title 45, Code of Federal Regulations.” Read more about the proposed rule.

August 2012

On August 24, 2012, the Centers for Medicare and Medicaid Services (CMS) announced a final rule that officially delays the ICD-10 compliance date from October 1, 2013 to October 1, 2014.

April 2012

On April 9, 2012, the Centers for Medicare and Medicaid Services ("CMS") announced a proposed rule that would delay the compliance date for ICD-10 from October 1, 2013 to October 1, 2014.

January 2009

HHS announced in January 2009 that ICD-10-CM and ICD-10-PCS must be implemented into the HIPAA-mandated code set by October 1, 2013. This means that health plans, health care providers, and health care clearinghouses that conduct standard health care transactions must use ICD-10-CM diagnosis codes for services occurring on or after October 1, 2013, and ICD-10-PCS procedure codes for discharges occurring on or after October 1, 2013.

Additionally, effective January 1, 2012, health care providers and health care clearinghouses must be ready to submit claims electronically using the X12 Version 5010 and National Council for Prescription Drug Programs (NCPDP) Version D.0 standards. Version 5010 replaces Version 4010/4010A and is used for electronic health care transactions such as claims submissions, eligibility, and remittance advice. Version 5010 accommodates the ICD-10 codes and must be in place before implementing the new ICD-10 codes.

Back to the ICD-10 Resource Center