Section 1886(s)(4)(C) of the Social Security Act, amended by sections 3401(f) and 10322(a) of the Affordable Care Act requires IPFs to report quality data for 6 quality measures starting in fiscal 2013 for Medicare beneficiaries. Beginning in FY 2015, two quality measures are added. Why does this matter in the context of ICD-10? The quality measures will be based on diagnosis and procedures coded in ICD-10 beginning October 1, 2015.
There are relatively few increases in ICD-10 codes in behavioral health relative to high impact specialties such as Orthopedics. There are 27 ICD-9 codes for Anxiety Disorders and 47 codes under ICD-10 for example, vs. thousands of code changes in some specialties. Therefore, some behavioral health providers assume in error that because there are fewer codes that the ICD-10 transition has little impact on their organization, which is not true.