ICD-10

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On October 1, 2015, the ICD-9 code sets used to report medical diagnoses and inpatient procedures were replaced by ICD-10 code sets. The transition to ICD-10 is required for everyone covered by the Health Insurance Portability Accountability Act (HIPAA). Please note, the change to ICD-10 does not affect CPT coding for outpatient procedures and physician services.

Click to visit the CDC website for more details

Download the Code Sets from the CDC website

2021 ICD-10-CM (CMS)

The 2021 ICD-10-CM files below contain information on the ICD-10-CM updates for FY 2021. These 2021 ICD-10-CM codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021 and for patient encounters occurring from October 1, 2020 through September 30, 2021.

Note: There is no FY 2021 GEMs file. As stated in the FY 2016 IPPS/LTCH PPS final rule (80 FR 49388), the GEMs have been updated on an annual basis as part of the ICD-10 Coordination and Maintenance Committee meetings process and will continue to be updated for approximately 3 years after ICD-10 is implemented.

We made the GEMs files available for FY 2016, FY 2017 and FY 2018.

An announcement was also made at the September 2017 ICD-10 Coordination and Maintenance Committee meeting that FY 2018 would be the last GEMs file update.

2021 release of ICD-10-CM (CDC)

2020 release of ICD-10-CM

Note: This replaces the FY 2019 release. These files listed below represent the FY 2020 ICD-10-CM. The FY 2020 ICD-10-CM is available in both PDF (Adobe) and XML file formats. Most files are provided in compressed zip format for ease in downloading. These files have been created by the National Center for Health Statistics (NCHS), under authorization by the World Health Organization. Any questions regarding typographical or other errors noted on this release may be reported to nchsicd10cm@cdc.gov .

2019 Files and GEMs

These files listed below represent the FY 2019 ICD-10-CM. The FY 2019 ICD-10-CM is available in both PDF (Adobe) and XML file formats. Most files are provided in compressed zip format for ease in downloading. These files have been created by the National Center for Health Statistics (NCHS), under authorization by the World Health Organization. Any questions regarding typographical or other errors noted on this release may be reported to nchsicd10cm@cdc.gov.

2018 Files and GEMs

2017 Guidelines from CDC

Preface [PDF- 48 KB]
ICD-10-CM FY 2017 Guidelines [PDF- 977 KB]
ICD-10-CM FY 2017 List of codes and Descriptions [PDF- 334 KB]
ICD-10-CM FY2017 Order Files [PDF- 415 KB]
Interim advice on excludes 1 note on conditions unrelated [PDF – 92 KB]

Note: Updated interim advice on excludes 1 note on conditions unrelated

These files are all contained in the same location:
• ICD-10-CM FY 2017 [Full PDF]
• ICD-10-CM [XML]
• ICD-10-CM FY 2017 Addenda [PDF]
• Conversion table FY 2017
• Present on Admission (POA) Exempt Codes [Zip – 1 MB]

CMS Resources

Earlier Resources:

FY 2017 ICD-10-PCS Official Guidelines for Coding and Reporting
2017 ICD-10-PCS and GEMs
2017 ICD-10-CM and GEMs
2017 Code Descriptions in Tabular Order [ZIP, 2MB]
2017 Code Tables and Index [ZIP, 20MB]
2017 ICD-10-CM Duplicate Code Numbers [ZIP, 64KB]
2017 Addendum [ZIP, 1MB]

2016 ICD-10-PCS and GEMs
2016 ICD-10-CM and GEMs
FY 2016 ICD-10-CM Official Guidelines for Coding and Reporting
FY 2016 ICD-10-PCS Official Guidelines for Coding and Reporting

2015 ICD-10-CM and GEMs
2015 ICD-10-PCS and GEMs

2014 ICD-10-CM and GEMs
2014 ICD-10-PCS and GEMs
CMS Implementation Planning
CMS Provider Resources
CMS Recommended Timelines
Document “ICD 10 Myths & Facts” from CMS (April 2014).
September 15-16, 2010 Coordination and Maintenance Committee Meeting Handouts [PDF, 927KB]
ICD-10 MS-DRG Conversion Project
2012 Official ICD-10-PCS Coding Guidelines [PDF, 66KB]
2012 Version – What’s New [PDF, 50KB]
2012 Code Tables and Index [ZIP, 4.84MB]
2012 Code Descriptions – Long and Abbreviated Titles and README files [ZIP, 1MB]
2012 Development of the ICD-10 Procedure Coding System (ICD-10-PCS) [PDF, 244KB]
2012 ICD-10-PCS Reference Manual and Slides [ZIP, 4.75MB]
2012 Addendum [ZIP, 267KB]
2012 Mapping – “ICD-10-PCS to ICD-9-CM” and “ICD-9-CM to ICD-10-PCS”; and User Guide, Reimbursement Guide – Procedures [ZIP, 828KB]

See official resources designed to help providerspayersvendors, and non-covered entities with the transition to ICD-10 on October 1, 2014.

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