The procedure and diagnosis codes that are used on claims evolve over time as
new codes are added and existing codes are redefined or deleted. The buttons on
these pages provide access to the website articles that have been posted about
about code updates.
HCPCS
The annual Healthcare Common Procedure Coding System (HCPCS) additions,
changes, and deletions are effective for dates of service on or after January 1
each year. Smaller HCPCS updates are implemented quarterly throughout the year.
ICD-9-CM
The annual International Classification of Diseases, Ninth Revision,
Clinical Modification (ICD-9-CM) additions, revisions, and deletions are
effective for dates of service on or after October 1 each year.
ICD-10 Implementation
Effective October 1, 2013, Texas state health-care programs
will transition medical diagnosis and inpatient procedure coding
from ICD-9-CM to the ICD-10 code sets. The transition to ICD-10
code sets will require business and system changes throughout
the health-care industry. All providers that are covered by
HIPAA must make the transition by the compliance date of October
1, 2013.
This page has been created as a place to aggregate
information that will help providers make this significant
transition. More links and resources will be added, so providers
and their claims-filing services and software vendors are
encouraged to check this page at least once a month.
NCCI Compliance
The Patient Protection and Affordable Care
Act (PPACA) mandates that all claims submitted on or after October 1, 2010, must
be filed in accordance with the National Correct Coding Initiative (NCCI)
guidelines. NCCI was developed by the Centers for Medicare & Medicaid Services
(CMS) to promote the correct coding of health-care services by providers. NCCI
consists of pairs of procedure codes that should not be reported together.