NYS Workers' Comp ICD-10 Coding System Implementation


All health care providers and hospitals covered by the Health Insurance Portability and Accountability Act (HIPAA) are required to transition to the new International Classification of Diseases, 10th Edition (ICD-10), diagnosis and procedure coding system, starting on the upcoming implementation date of October 1, 2015 set by the Centers for Medicare and Medicaid Services (CMS). The latest information, timelines and resources can be found on the CMS website at www.cms.gov/icd10.

While ICD-10 codes have more expanded detail than the current coding system, this transition does not affect Current Procedural Terminology (CPT) codes which are generally used when claims for health care services are reported to no-fault and workers’ compensation insurers. Regardless, it is in the best interests of no-fault insurers to be conversant with the new ICD-10 coding system.

Further information as to how ICD-10 will affect workers’ compensation insurers can be found on the New York State Workers’ Compensation Board’s website at http://www.wcb.ny.gov/content/main/SubjectNos/sn046_746.jsp.