Building Internal Processes and Planning Validation Activities Related to Use of ICD-10-CM Codes in the Sentinel Initiative

Project Title Building Internal Processes and Planning Validation Activities Related to Use of ICD-10-CM Codes in the Sentinel Initiative
Date Posted
Thursday, June 21, 2018
Status
Complete
Deliverables
Description

The U.S. Centers for Medicare and Medicaid Services (CMS) formally set October 1, 2015 as the compliance date for conversion from the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) to ICD-10 diagnostic (ICD-10-CM) and procedure (ICD-10-PCS) codes.  All healthcare providers covered by the Health Insurance Portability Accountability Act (HIPPA) were affected by this requirement. Thus, all diagnostic and procedure codes reported by Sentinel Data Partners on or after October 1, 2015 are expected to be in ICD-10-CM and ICD-10-PCS formats since commercial carriers follow federal regulations for operational efficiency.

This workgroup tested existing infrastructure and internal processes to help ensure a smooth transition from ICD-9-CM to ICD-10-CM/PCS codes. 

This page contains:

  • Modular Program Reports:
    • Sentinel Modular Program Report: Frequency of Angioedema, Acute Myocardial Infarction (AMI), and Ischemic Stroke Codes Across Code Eras
    • Sentinel Modular Program Report: Frequency of Hypertension and Diabetes Codes Across Code Eras
  • ICD-9 and ICD-10 General Equivalence Mappings (GEMs)
    • Statistical Analysis System (SAS) Program: The purpose of this program is to create output SAS datasets from GEMs forward and backwards files, downloaded directly from the CMS website, that can then be used to translate ICD-9 codes to approximate or exact ICD-10 codes.
    • Statistical Analysis System (SAS) Program Specification
Workgroup Leader(s)

Catherine A. Panozzo PhD; Tiffany S. Woodworth MPH; Department of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, Boston, MA

Workgroup Members

Max R. Ehrmann MPH; Katherine E. Freitas BA; Qoua L. Her PharmD, MS; Ting-Ying Huang BSPharm, PhD; Talia J. Menzin BS; Catherine Rogers MPH; Darren Toh ScD; Emily C. Welch; Department of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, Boston, MA

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