Automation tool- converts ICD-9 edi claim file to ICD-10 edi claim file.

http://urtesting.blogspot.com/

One of my friend has developed a automation tool that takes the icd9 claims as input and generates icd-10 brand new claims.The tool does the GEMs X-walk for icd 9 to icd 10 codes and also changes the date of service to service to a void the duplicate claim. I tested this and worked perfect for my testing.He is soon going to checkin the code in girth hub as open source.
Any one is interested please let me know.
This is a fantastic tool that also has the x-walk ability .
Urtesting.blogspot.com

HIPAA Transaction impacted by ICD-10 codes

http://urtesting.blogspot.com/

There are many transaction that are going to be impacted by ICD-10 diagnosis and procedure codes. Offcousre the 837 insutional and professional claims has a huge impact but almost all the most used HIPAA transaction has impact except the 835 transaction.
834 has a impactd when enrolling a member for pre-existing condition where Diagnosis code comes in 834 edi files.There is an impact on 270 and 271 transaction for claims status and also for 278 for referral when provider is referring for a condtion that has a diagnosis code.

837 - Profession - has a impact
837 - Instuitional - has a impact
837 - Dental - has a impact

270 - has a impact
271- has a impact

278 - has a impact.

835 - No impact .. but there need to a testing of 835 for the ICD-10 claims for making sure that 835 generates as expected for ICD-10 837 edi files.

Please feel free to comments ..and ask any question if you have..

ICD-10 Testing for No Maps codes( orphan codes)

http://urtesting.blogspot.com/

Interesting aspect for ICD-10 testing to test the ICD-9 codes that are no longer valid and test the ICD-10 codes that are brand new.In gems file there are total 424 codes ( mainly E codes, external cause of injury) that are no more mapped to any ICD-10 codes and there are total 669 ICD-10 codes that are brand new and not mapped to any ICD-9 codes. These ICD-10 codes are mainly R codes(realted to Coma) and T codes(related to overdosing).Testing is important to know how claim adjudication happens for these codes as these codes need to be configured and or mapped to any existing codes and see the finincail impcat on reimbursment.Here is attached the codes that are orphan in forward mapping ( no more mapped to ICD-10 codes)
36570
36571
36572
36573
36574
70720
70721
70722
70723
70724
70725
76409
76419
76529
7796
E8500
E8501
E8502
E8503
E8504
E8505
E8506
E8507
E8508
E8509
E851
E8520
E8521
E8522
E8523
E8524
E8525
E8528
E8529
E8530
E8531
E8532
E8538
E8539
E8540
E8541
E8542
E8543
E8548
E8550
E8551
E8552
E8553
E8554
E8555
E8556
E8558
E8559
E856
E857
E8580
E8581
E8582
E8583
E8584
E8585
E8586
E8587
E8588
E8589
E8600
E8601
E8602
E8603
E8604
E8608
E8609
E8610
E8611
E8612
E8613
E8614
E8615
E8616
E8619
E8620
E8621
E8622
E8623
E8624
E8629
E8630
E8631
E8632
E8633
E8634
E8635
E8636
E8637
E8638
E8639
E8640
E8641
E8642
E8643
E8644
E8650
E8651
E8652
E8653
E8654
E8655
E8658
E8659
E8660
E8661
E8662
E8663
E8664
E8665
E8666
E8667
E8668
E8669
E867
E8680
E8681
E8682
E8683
E8688
E8689
E8690
E8691
E8692
E8693
E8694
E8698
E8699
E8700
E8701
E8702
E8703
E8704
E8705
E8706
E8707
E8708
E8709
E8710
E8711
E8712
E8713
E8714
E8715
E8716
E8717
E8718
E8719
E8740
E8741
E8742
E8743
E8744
E8745
E8748
E8749
E903
E9040
E9041
E9042
E9043
E9049
E9050
E9051
E9052
E9053
E9054
E9055
E9056
E9057
E9058
E9059
E911
E912
E9130
E9131
E9132
E9133
E9138
E9139
E914
E915
E9241
E9270
E9271
E9272
E9273
E9274
E9278
E9279
E9286
E9292
E9294
E9300
E9301
E9302
E9303
E9304
E9305
E9306
E9307
E9308
E9309
E9310
E9311
E9312
E9313
E9314
E9315
E9316
E9317
E9318
E9319
E9320
E9321
E9322
E9323
E9324
E9325
E9326
E9327
E9328
E9329
E9330
E9331
E9332
E9333
E9334
E9335
E9336
E9337
E9338
E9339
E9340
E9341
E9342
E9343
E9344
E9345
E9346
E9347
E9348
E9349
E9350
E9351
E9352
E9353
E9354
E9355
E9356
E9357
E9358
E9359
E9360
E9361
E9362
E9363
E9364
E9370
E9371
E9372
E9373
E9374
E9375
E9376
E9378
E9379
E9380
E9381
E9382
E9383
E9384
E9385
E9386
E9387
E9389
E9390
E9391
E9392
E9393
E9394
E9395
E9396
E9397
E9398
E9399
E9400
E9401
E9408
E9409
E9410
E9411
E9412
E9413
E9419
E9420
E9421
E9422
E9423
E9424
E9425
E9426
E9427
E9428
E9429
E9430
E9431
E9432
E9433
E9434
E9435
E9436
E9438
E9439
E9440
E9441
E9442
E9443
E9444
E9445
E9446
E9447
E9450
E9451
E9452
E9453
E9454
E9455
E9456
E9457
E9458
E9460
E9461
E9462
E9463
E9464
E9465
E9466
E9467
E9468
E9469
E9470
E9471
E9472
E9473
E9474
E9478
E9479
E9480
E9481
E9482
E9483
E9484
E9485
E9486
E9488
E9489
E9490
E9491
E9492
E9493
E9494
E9495
E9496
E9497
E9499
E9500
E9501
E9502
E9503
E9504
E9505
E9506
E9507
E9508
E9509
E9510
E9511
E9518
E9520
E9521
E9528
E9529
E9530
E9531
E9538
E9539
E961
E9620
E9621
E9622
E9629
E963
E978
E9800
E9801
E9802
E9803
E9804
E9805
E9806
E9807
E9808
E9809
E9810
E9811
E9818
E9820
E9821
E9828
E9829
E9830
E9831
E9838
E9839
E984
E989
V6441
V6442
V6443

Here are the ICD-10 codes that are brand new and no map to any ICD-9 codes
R402130
R402131
R402132
R402133
R402134
R402140
R402141
R402142
R402143
R402144
R402230
R402231
R402232
R402233
R402234
R402240
R402241
R402242
R402243
R402244
R402250
R402251
R402252
R402253
R402254
R402330
R402331
R402332
R402333
R402334
R402350
R402351
R402352
R402353
R402354
R402360
R402361
R402362
R402363
R402364
R40241
R40242
R40243
R40244
T360X6A
T360X6D
T360X6S
T361X6A
T361X6D
T361X6S
T362X6A
T362X6D
T362X6S
T363X6A
T363X6D
T363X6S
T364X6A
T364X6D
T364X6S
T365X6A
T365X6D
T365X6S
T366X6A
T366X6D
T366X6S
T367X6A
T367X6D
T367X6S
T368X6A
T368X6D
T368X6S
T3696XA
T3696XD
T3696XS
T370X6A
T370X6D
T370X6S
T371X6A
T371X6D
T371X6S
T372X6A
T372X6D
T372X6S
T373X6A
T373X6D
T373X6S
T374X6A
T374X6D
T374X6S
T375X6A
T375X6D
T375X6S
T378X6A
T378X6D
T378X6S
T3796XA
T3796XD
T3796XS
T380X6A
T380X6D
T380X6S
T381X6A
T381X6D
T381X6S
T382X6A
T382X6D
T382X6S
T383X6A
T383X6D
T383X6S
T384X6A
T384X6D
T384X6S
T385X6A
T385X6D
T385X6S
T386X6A
T386X6D
T386X6S
T387X6A
T387X6D
T387X6S
T38806A
T38806D
T38806S
T38816A
T38816D
T38816S
T38896A
T38896D
T38896S
T38906A
T38906D
T38906S
T38996A
T38996D
T38996S
T39016A
T39016D
T39016S
T39096A
T39096D
T39096S
T391X6A
T391X6D
T391X6S
T392X6A
T392X6D
T392X6S
T39316A
T39316D
T39316S
T39396A
T39396D
T39396S
T394X6A
T394X6D
T394X6S
T398X6A
T398X6D
T398X6S
T3996XA
T3996XD
T3996XS
T400X6A
T400X6D
T400X6S
T402X6A
T402X6D
T402X6S
T403X6A
T403X6D
T403X6S
T404X6A
T404X6D
T404X6S
T405X6A
T405X6D
T405X6S
T40606A
T40606D
T40606S
T40696A
T40696D
T40696S
T407X6A
T407X6D
T407X6S
T40906A
T40906D
T40906S
T40996A
T40996D
T40996S
T410X6A
T410X6D
T410X6S
T411X6A
T411X6D
T411X6S
T41206A
T41206D
T41206S
T41296A
T41296D
T41296S
T413X6A
T413X6D
T413X6S
T4146XA
T4146XD
T4146XS
T415X6A
T415X6D
T415X6S
T420X6A
T420X6D
T420X6S
T421X6A
T421X6D
T421X6S
T422X6A
T422X6D
T422X6S
T423X6A
T423X6D
T423X6S
T424X6A
T424X6D
T424X6S
T425X6A
T425X6D
T425X6S
T426X6A
T426X6D
T426X6S
T4276XA
T4276XD
T4276XS
T428X6A
T428X6D
T428X6S
T43016A
T43016D
T43016S
T43026A
T43026D
T43026S
T431X6A
T431X6D
T431X6S
T43206A
T43206D
T43206S
T43216A
T43216D
T43216S
T43226A
T43226D
T43226S
T43296A
T43296D
T43296S
T433X6A
T433X6D
T433X6S
T434X6A
T434X6D
T434X6S
T43506A
T43506D
T43506S
T43596A
T43596D
T43596S
T43606A
T43606D
T43606S
T43616A
T43616D
T43616S
T43626A
T43626D
T43626S
T43636A
T43636D
T43636S
T43696A
T43696D
T43696S
T438X6A
T438X6D
T438X6S
T4396XA
T4396XD
T4396XS
T440X6A
T440X6D
T440X6S
T441X6A
T441X6D
T441X6S
T442X6A
T442X6D
T442X6S
T443X6A
T443X6D
T443X6S
T444X6A
T444X6D
T444X6S
T445X6A
T445X6D
T445X6S
T446X6A
T446X6D
T446X6S
T447X6A
T447X6D
T447X6S
T448X6A
T448X6D
T448X6S
T44906A
T44906D
T44906S
T44996A
T44996D
T44996S
T450X6A
T450X6D
T450X6S
T451X6A
T451X6D
T451X6S
T452X6A
T452X6D
T452X6S
T453X6A
T453X6D
T453X6S
T454X6A
T454X6D
T454X6S
T45516A
T45516D
T45516S
T45526A
T45526D
T45526S
T45606A
T45606D
T45606S
T45616A
T45616D
T45616S
T45626A
T45626D
T45626S
T45696A
T45696D
T45696S
T457X6A
T457X6D
T457X6S
T458X6A
T458X6D
T458X6S
T4596XA
T4596XD
T4596XS
T460X6A
T460X6D
T460X6S
T461X6A
T461X6D
T461X6S
T462X6A
T462X6D
T462X6S
T463X6A
T463X6D
T463X6S
T464X6A
T464X6D
T464X6S
T465X6A
T465X6D
T465X6S
T466X6A
T466X6D
T466X6S
T467X6A
T467X6D
T467X6S
T468X6A
T468X6D
T468X6S
T46906A
T46906D
T46906S
T46996A
T46996D
T46996S
T470X6A
T470X6D
T470X6S
T471X6A
T471X6D
T471X6S
T472X6A
T472X6D
T472X6S
T473X6A
T473X6D
T473X6S
T474X6A
T474X6D
T474X6S
T475X6A
T475X6D
T475X6S
T476X6A
T476X6D
T476X6S
T477X6A
T477X6D
T477X6S
T478X6A
T478X6D
T478X6S
T4796XA
T4796XD
T4796XS
T480X6A
T480X6D
T480X6S
T481X6A
T481X6D
T481X6S
T48206A
T48206D
T48206S
T48296A
T48296D
T48296S
T483X6A
T483X6D
T483X6S
T484X6A
T484X6D
T484X6S
T485X6A
T485X6D
T485X6S
T486X6A
T486X6D
T486X6S
T48906A
T48906D
T48906S
T48996A
T48996D
T48996S
T490X6A
T490X6D
T490X6S
T491X6A
T491X6D
T491X6S
T492X6A
T492X6D
T492X6S
T493X6A
T493X6D
T493X6S
T494X6A
T494X6D
T494X6S
T495X6A
T495X6D
T495X6S
T496X6A
T496X6D
T496X6S
T497X6A
T497X6D
T497X6S
T498X6A
T498X6D
T498X6S
T4996XA
T4996XD
T4996XS
T500X6A
T500X6D
T500X6S
T501X6A
T501X6D
T501X6S
T502X6A
T502X6D
T502X6S
T503X6A
T503X6D
T503X6S
T504X6A
T504X6D
T504X6S
T505X6A
T505X6D
T505X6S
T506X6A
T506X6D
T506X6S
T507X6A
T507X6D
T507X6S
T508X6A
T508X6D
T508X6S
T50906A
T50906D
T50906S
T50996A
T50996D
T50996S
T50A16A
T50A16D
T50A16S
T50A26A
T50A26D
T50A26S
T50A96A
T50A96D
T50A96S
T50B16A
T50B16D
T50B16S
T50B96A
T50B96D
T50B96S
T50Z16A
T50Z16D
T50Z16S
T50Z96A
T50Z96D
T50Z96S
Y700
Y701
Y702
Y703
Y708
Y710
Y711
Y712
Y713
Y718
Y720
Y721
Y722
Y723
Y728
Y730
Y731
Y732
Y733
Y738
Y740
Y741
Y742
Y743
Y748
Y750
Y751
Y752
Y753
Y758
Y760
Y761
Y762
Y763
Y768
Y770
Y771
Y772
Y773
Y778
Y780
Y781
Y782
Y783
Y788
Y790
Y791
Y792
Y793
Y798
Y800
Y801
Y802
Y803
Y808
Y810
Y811
Y812
Y813
Y818
Y828
Y829
Y900
Y901
Y902
Y903
Y904
Y905
Y906
Y907
Y908
Y909
Y95
Z3A00
Z3A01
Z3A08
Z3A09
Z3A10
Z3A11
Z3A12
Z3A13
Z3A14
Z3A15
Z3A16
Z3A17
Z3A18
Z3A19
Z3A20
Z3A21
Z3A22
Z3A23
Z3A24
Z3A25
Z3A26
Z3A27
Z3A28
Z3A29
Z3A30
Z3A31
Z3A32
Z3A33
Z3A34
Z3A35
Z3A36
Z3A37
Z3A38
Z3A39
Z3A40
Z3A41
Z3A42
Z3A49
Z6710
Z6711
Z6720
Z6721
Z6730
Z6731
Z6740
Z6741
Z6790
Z6791

Please feel fee to post the comment!

ICD-10 and Workers' Compensation

http://urtesting.blogspot.com/

Do you know Workers’ Compensation has no impact on ICD-10 and they are not liable for any ICD-10 Implementation.Do you know why ? This is because Workers’ Compensation is not comes under HIPAA covered entity.

More information is available in CMS website.