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CA DWC Regulations Delaying ICD-10 Implementation Until October 1, 2015 Approved by Office of Administrative Law

  • 10/02/14
  • WorkersCompensation.com


San Francisco, CA (WorkersCompensation.com) - The Division of Workers' Compensation (DWC) has adopted changes to a medical billing regulation and to the DWC Medical Billing and Payment Guide to postpone the ICD-10 compliance date for one year, to October 1, 2015.

The International Classification of Diseases – 10th Revision, Clinical Modification (ICD-10-CM) and the International Classification of Diseases – 10th Revision, Procedure Coding System (ICD-10-PCS) were adopted for workers' compensation in February 2014, with an implementation date of October 1, 2014 to coincide with the Health Insurance Portability and Accountability Act (HIPAA) implementation date.

Subsequently, the U.S. Department of Health and Human Services issued a final rule postponing use of the ICD-10 until October 1, 2015, for HIPAA-covered entities. For workers' compensation, the Administrative Director has amended the Medical Billing and Payment Guide to align the workers' compensation ICD-10 transition date with the October 1, 2015 ICD-10 transition date applicable to HIPAA-covered entities and the broader health care sector. All workers' compensation participants are encouraged to move forward expeditiously to prepare for the transition.



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