12.07.2015 Views

Ingenix ICD-9-CM to ICD-10-CM and ICD-10-CM to ICD-10-CM

Ingenix ICD-9-CM to ICD-10-CM and ICD-10-CM to ICD-10-CM

Ingenix ICD-9-CM to ICD-10-CM and ICD-10-CM to ICD-10-CM

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<strong>Ingenix</strong> <strong>ICD</strong>-9-<strong>CM</strong> <strong>to</strong> <strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong> <strong>and</strong> <strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong> <strong>to</strong> <strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong> Mapping Data FilesFilesThe <strong>ICD</strong>-9-<strong>CM</strong> <strong>to</strong> <strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong> <strong>and</strong> <strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong> <strong>to</strong> <strong>ICD</strong>-9-<strong>CM</strong> Mappings Data File (20<strong>10</strong> Version)provides the general equivalence mappings (GEMs) of <strong>ICD</strong>-9-<strong>CM</strong> <strong>to</strong> <strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong> <strong>and</strong> <strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong><strong>to</strong> <strong>ICD</strong>-9-<strong>CM</strong>, as well as, the Reimbursement Mapping as released by the Centers for Medicare<strong>and</strong> Medicaid Services (<strong>CM</strong>S).In addition, separate Mapping Guide documents are provided for each type of mapping..There are three files:File A: <strong>ICD</strong>-9-<strong>CM</strong> <strong>to</strong> <strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong> Mapping INGENIX_<strong>ICD</strong>-9-<strong>CM</strong>_GEM.txtFile B: <strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong> <strong>to</strong> <strong>ICD</strong>-9-<strong>CM</strong> Mapping INGENIX_<strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong>_GEM.txtFile C: Reimbursement Mapping for Diagnoses INGENIX_<strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong>_REIM_MAP.txtFile A: <strong>ICD</strong>-9-<strong>CM</strong> <strong>to</strong> <strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong> MappingFile name: INGENIX_<strong>ICD</strong>-9-<strong>CM</strong>_GEM.txtFile format:Record LayoutField Position Length Description<strong>ICD</strong>-9-<strong>CM</strong> Code [target] 1-5 5 Left justified, blankfilled, no decimalFiller 6 1 Blank<strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong> Code [target] 7-13 7 All sevencharacters used,no decimalFiller 14 1 BlankApproximate [FLAG] 15 1 1 = Yes/On0 = No/OffNo Map [FLAG] 16 1 1 = Yes/On0 = No/OffCombination [FLAG] 17 1 1 = Yes/On0 = No/OffScenario 18 1 0-9Choice List 19 1 0-9


File B: <strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong> <strong>to</strong> <strong>ICD</strong>-9-<strong>CM</strong> MappingFile name: INGENIX_<strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong>_GEM.txtFile format:Record LayoutField Position Length Description<strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong> Code [target] 1-7 7 All sevencharacters used,no decimalFiller 8 1 Blank<strong>ICD</strong>-9-<strong>CM</strong> Code [target] 9-13 5 Left justified, blankfilled, noFile C: Reimbursement Mapping for DiagnosesFile name: INGENIX_<strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong>_REIM_MAP.txtFile format:Field Position Length Description<strong>ICD</strong>-<strong>10</strong>-<strong>CM</strong> Code 1 8 3 <strong>to</strong> 7 characters, left justified, nodecimal. Last character in field isblank.Number of I-9 codes required forcomplete mapping <strong>to</strong> the I-<strong>10</strong> code9 1 Values 1 through 5I-9 Code #1 <strong>10</strong> 6 2 <strong>to</strong> 5 characters, left justified, nodecimal. Last character in field isblank.I-9 Code #2 16 6 2 <strong>to</strong> 5 characters, left justified, nodecimal, if I-<strong>10</strong> code mapped <strong>to</strong> two ormore I-9 codes. Last character in fieldis blank.I-9 Code #3 22 6 2 <strong>to</strong> 5 characters, left justified, nodecimal, if I-<strong>10</strong> code mapped <strong>to</strong> threeor more I-9 codes. Last character infield is blank.I-9 Code #4 28 6 2 <strong>to</strong> 5 characters, left justified, nodecimal, if I-<strong>10</strong> code mapped <strong>to</strong> four ormore I-9 codes. Last character in fieldis blank.I-9 Code #5 34 6 2 <strong>to</strong> 5 characters, left justified, nodecimal, if I-<strong>10</strong> code mapped <strong>to</strong> five I-9 codes. Last character in field isblank.Call 1 (800) INGENIX <strong>to</strong> find out more about our <strong>Ingenix</strong> Data Files.© 20<strong>10</strong> <strong>Ingenix</strong>, Inc

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