Our 5010 and ICD-10 Policy
5010 and ICD-10
On January 16,2009, the Final Rule regarding version 5010 of the HIPAA transactions and the adoption of the ICD-10 code sets was published in the Federal Register. Availity has been working diligently to evaluate all of the 5010 transactions and their impacts on all Availity products and services. An initial gap analysis has been completed, the analysis of which will allow Availity to scope, prioritize, and schedule the changes necessary for the 5010 implementation.
Our plan includes the ability to convert 4010A1 to 5010 and the reverse (5010 to 4010A1), helping to minimize the impact to our clients' transaction time. We are also preparing a comprehensive communication and training plan to assist and inform our clients about the progress of this change and to determine our trading partners’ needs and timelines. We will publish our plans as the dates and activities solidify.
As stated earlier, we encourage you to begin analysis of your applications and processes related to the 5010 and ICD-10 implementations. We thank you for your partnership and continued support.
Recommended Implementation Schedule
Availity intends to follow the implementation schedule recommended in the Final Rule. This schedule is summarized below.
Date |
Activity |
January 1, 2009 |
Begin 5010 level 1 testing period activities (gap analysis, design, development, internal testing.) |
January 1, 2010 |
Begin 5010 level 1 internal testing for Version 5010 and D.0. |
December 31, 2010 |
Achieve 5010 level 1 compliance (complete internal testing and can send and receive compliant transactions in version 5010 and D.0.) |
January 1, 2011 |
Begin 5010 level 2 testing period activities (external testing with trading partners and move into production; dual processing mode.) |
January 1, 2012 |
Achieve 5010 level 2 compliance. Mandatory compliance date. |
October 1, 2013 |
ICD-10 mandatory compliance date. |
Additional Information
| 5010 Final Rule | ICD-10 Final Rule |
| 5010 Transaction Resources | ICD-10 Transaction Resources |
| 5010 FAQ |