How to prepare ICD-10 EDI claims file from existing ICD-9 files or convert ICD-9 files to ICD-10 files( Part-2)

http://urtesting.blogspot.com/
This is in continuation of part-1...
HIPAA 5010 ICD-9 claims with conversion to ICD-10 claims. This example has a ICD-9 diagnois code 0340 that has 2 ICD-10 X-walk .. so 2 ICD-10 EDI files has been created for testing.

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ICD-9 Professional Claim example

ISA*00* *00* *ZZ*Sender *ZZ*Receiver *130915*1025*^*00501*201309150*1*T*:~
GS*HC*Sender*Receiver*20130915*1020*123456*X*005010X222A1~
ST*837*2013*005010X222A1~
BHT*0019*00*23456*20130915*1023*CH~
NM1*41*2*Sender Name*****46*Senderid~
PER*IC*ContactPersonName*TE*TelephoneNumberofContactperson*FX*FaxNumber~
NM1*40*2*ReceiverName*****46*ReceiverID~
HL*1**20*1~
NM1*85*2*Billing provider name*****XX*NPI~
N3*Billing Provider Address~
N4*Billing provider city*Billing provider State*Billing Provider Zipcode~
HL*2*1*22*0~
SBR*P*18*Subscriber group ID******BL~
NM1*IL*1*Subscriber Last Name*First Name*Middle Name***IL*subscriberid~
N3*Subscriber address~
N4*Subscriber city*state*zipcode~
DMG*D8*SubscriberDOB*SubscriberSEX~
NM1*PR*2*PayerName *****PI*payerID~
N3*PayerAddress~
N4*PayerCity*PayerState*Payerzipcode~
CLM*claimNumber*100***13:B:1*Y*A*Y*Y*P~
HI*BK:0340~
NM1*82*1*rendering provider name*****XX*NPI~
LX*1~
SV1*HC:99214*100*UN*1***1**N~
DTP*472*RD8*20130910-20130910~
SE*30*2013~
GE*1*123456~
IEA*1*201309150~

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First ICD-10 claim for the above ICD-9 claim
ISA*00* *00* *ZZ*Sender *ZZ*Receiver *130915*1025*^*00501*201309150*1*T*:~
GS*HC*Sender*Receiver*20130915*1020*123456*X*005010X222A1~
ST*837*2013*005010X222A1~
BHT*0019*00*23456*20130915*1023*CH~
NM1*41*2*Sender Name*****46*Senderid~
PER*IC*ContactPersonName*TE*TelephoneNumberofContactperson*FX*FaxNumber~
NM1*40*2*ReceiverName*****46*ReceiverID~
HL*1**20*1~
NM1*85*2*Billing provider name*****XX*NPI~
N3*Billing Provider Address~
N4*Billing provider city*Billing provider State*Billing Provider Zipcode~
HL*2*1*22*0~
SBR*P*18*Subscriber group ID******BL~
NM1*IL*1*Subscriber Last Name*First Name*Middle Name***IL*subscriberid~
N3*Subscriber address~
N4*Subscriber city*state*zipcode~
DMG*D8*SubscriberDOB*SubscriberSEX~
NM1*PR*2*PayerName *****PI*payerID~
N3*PayerAddress~
N4*PayerCity*PayerState*Payerzipcode~
CLM*claimNumber*100***13:B:1*Y*A*Y*Y*P~
HI*ABK:J020~
NM1*82*1*rendering provider name*****XX*NPI~
LX*1~
SV1*HC:99214*100*UN*1***1**N~
DTP*472*RD8*20130910-20130910~
SE*30*2013~
GE*1*123456~
IEA*1*201309150~

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Second ICD-10 claim for the above ICD-9 claim

ISA*00* *00* *ZZ*Sender *ZZ*Receiver *130915*1025*^*00501*201309150*1*T*:~
GS*HC*Sender*Receiver*20130915*1020*123456*X*005010X222A1~
ST*837*2013*005010X222A1~
BHT*0019*00*23456*20130915*1023*CH~
NM1*41*2*Sender Name*****46*Senderid~
PER*IC*ContactPersonName*TE*TelephoneNumberofContactperson*FX*FaxNumber~
NM1*40*2*ReceiverName*****46*ReceiverID~
HL*1**20*1~
NM1*85*2*Billing provider name*****XX*NPI~
N3*Billing Provider Address~
N4*Billing provider city*Billing provider State*Billing Provider Zipcode~
HL*2*1*22*0~
SBR*P*18*Subscriber group ID******BL~
NM1*IL*1*Subscriber Last Name*First Name*Middle Name***IL*subscriberid~
N3*Subscriber address~
N4*Subscriber city*state*zipcode~
DMG*D8*SubscriberDOB*SubscriberSEX~
NM1*PR*2*PayerName *****PI*payerID~
N3*PayerAddress~
N4*PayerCity*PayerState*Payerzipcode~
CLM*claimNumber*100***13:B:1*Y*A*Y*Y*P~
HI*ABK:J0300~
NM1*82*1*rendering provider name*****XX*NPI~
LX*1~
SV1*HC:99214*100*UN*1***1**N~
DTP*472*RD8*20130910-20130910~
SE*30*2013~
GE*1*123456~
IEA*1*201309150~

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in the above example of ICD-9 to ICD-10 conversion .. everything is remains same except the HI qualifiers and X-walk.
I have created a utility that takes the ICD-9 claims and creates all possible ICD-10 claims. Please let me know if someone is interested. Next post I will give some examples of Institutional claims with Diagnosis and procedure codes.

Disclaimer - The post is for educational purposes and help to prepare well for the ICD-9 to ICD-10 conversion. Above example just help to understand the 837 changes for ICD-10 claims. Please do not use this claims in your testing as it will not work as data has been masked for security and confidentiality.