Medicare Claims Processing Manual (Pub. 100-04), Ch. 23 § 10
Reporting ICD Diagnosis and Procedure Codes
10 - Reporting ICD Diagnosis and Procedure Codes
(Rev. 3081, Issued: 09-26-14, Effective: Upon Implementation of ICD-10, Implementation: Upon
Implementation of ICD-10)
Proper coding is necessary on Medicare claims because codes are generally used in determining coverage
and payment amounts. CMS accepts only HIPAA approved ICD-9-CM or ICD-10-CM/ICD-10-PCS codes,
depending on the date of service. The official ICD-9-CM codes which were updated annually through
October 1, 2013 are posted at
http://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/codes.html
The official annual updates and effective dates for any changes to ICD-10-CM and ICD-10-PCS codes are
posted at http://www.cms.gov/Medicare/Coding/ICD10/index.html .
See the following sections (10.1 - 10.6) for additional instructions about coding ICD diagnoses for inpatient,
outpatient, and other services.