This page includes resources to help Affinity’s provider community adopt ICD-10 code sets.
ICD code conversion widget
Use this handy widget to instantly convert disease classification codes from ICD-9 to ICD-10 (will also convert ICD-10 codes to ICD-9):
Affinity has a formal initiative in place to remediate all non-ICD-10 compliant systems, policies and processes. Through the ICD-10 initiative, Affinity will:
Affinity Health Plan will follow its current process, which is to issue authorizations based on request date. Affinity will begin accepting ICD-10 codes for authorization and referral requests from September 1, 2015 for date of service on or after October 1, 2015.
Affinity Health Plan will adjudicate claims based on the following CMS rules:
All claims submitted to Affinity must comply with the CMS rules outlined above. Affinity’s ICD-10 compliance rules apply to all claims regardless of claim type (for ex. HCFA 1500, UB04).
For more information, click on this list of Frequently Asked Questions regarding ICD-10.
Affinity ICD-10 Compliance Rules Quick Reference (PDF)
Letter regarding ICD-10 from the Vice President, Network Operations (PDF)
ICD-10 Provider Factsheet (PDF)
The following web sites contain comprehensive information on ICD-10:Centers for Medicare & Medicaid Services (CMS)American Health Information Management Association (AHIMA)Workgroup for Electronic Data Interchange (WEDI)National Center for Health Statistics (NCHS)