5010 and ICD-10 Implementation

The Medical Group Management Association (MGMA) believes the transition to 5010 and ICD-10 will be extremely costly and challenging for medical groups. MGMA continues to advocate on behalf of our members and provide tools and resources to help make the transition more cost effective and less disruptive to their organizations. 

Latest news on 5010 and ICD-10

• CMS proposes one-year delay for ICD-10
• CMS agrees to MGMA request for additional 5010 enforcement delay
• MGMA to HHS: 5010 causing major payment disruptions for medical practices
• Practices should continue HIPAA Version 5010 implementation efforts   

For more news on 5010, ICD-10 and other health care issues, visit the MGMA Washington Connexion archive.

MGMA Advocacy

• MGMA sent recommendations to HHS for the ICD-10 implementation process
• Letter to HHS regarding the payment disruptions caused by the transition to HIPAA 5010
• MGMA testified before the National Committee on Vital and Health Statistics on the transition to HIPAA Version 5010 electronic transaction standards
• MGMA joins the American Medical Association in calling for a National Testing Period ahead of the change to the Version 5010 HIPAA transaction standards
• 5010 and ICD-10 Implementation Concerns and Recommendations

See all of MGMA's advocacy efforts in our Advocacy Archive.

MGMA Resources

Member-only supplement on HIPAA 5010 and ICD-10 

CMS FAQs on the 90-day Version 5010 discretionary enforcement delay and contingency plan

CMS chart showing which 5010 claim form data elements are “situational” and which are “required,” comparing 4010 to 5010

MGMA's and the AMA's Selecting a Practice Management System Toolkit assists practices in the transition the 5010 and ICD-10

Attention vendors: Fill out our questionnaire to be listed in our Practice Management System Software Directory  

5010 and ICD-10 Primer for Physician Practices

5010 and ICD-10 Vendor Questions and Guidelines