ICD-10 Code Sets
ICD-10 code sets replaced ICD-9 in fall 2015. The ICD-10 code set is more extensive than that of ICD-9, offering the opportunity for more complete and specific reporting. Health Plans, Inc. is compliant with ICD-10 diagnosis and procedure codes.
As an administrator of self-funded benefit plans, we partner with multiple provider networks to provide optimal service to our customers. If you have questions about ICD-10 code sets, please review the option below that best applies to your provider network.
Testing and Reference Information
Harvard Pilgrim Health Care Providers:
Click here to visit the Harvard Pilgrim Health Care ICD-10 resource center for testing and reference information
United Healthcare Providers:
Click here to visit the United Healthcare ICD-10 resource center for testing and reference information
Providers submitting via Emdeon/WebMD:
Please click here for important testing information
- WEDI (Workgroup for Electronic Data Interchange):
Events and news related to ICD-10 implementation, including information specifically for small practices.
- CMS (Centers for Medicare & Medicaid Services):
Official CMS resources designed to help providers, payers, vendors and noncovered entities with the transition to ICD-10
- MMS (Massachusetts Medical Society):
Links to resources for helping physician practices plan and implement their transition to ICD-10
News source for developments on ICD-10 transition planning, events, technology and resources
- HIMMS ICD-10 Playbook (Healthcare Information and Management Systems Society):
Information to assist hospitals, ambulatory centers, practitioners and their staff in transitioning to ICD-10
- AMA (American Medical Association):
Implementation planning and education resources for ICD-10 conversion
- AAPC (American Association of Professional Coders):
ICD-10 implementation planning, information and training for coders, providers and practice managers
- AHIMA (American Health Information Management Association):
Online and face-to-face training and other ICD-10 resources
Please email or call our Customer Service team at 800-532-7575 for additional assistance.