ICD-10-CM Proposal Process

Purpose

Find instructions to propose codes for the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). Learn about the process for reviewing, discussing, and approving proposals.

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Proposal process

  • Both members of the public and representatives from the private sector can propose ICD-10-CM diagnosis codes.
  • The committee must receive proposals before the submission deadline for the next scheduled meeting.
  • The committee will acknowledge all proposals it receives. Receipt does not guarantee approval for presentation.
  • Incomplete proposals will be returned to the submitter.
  • For proposal samples, see proposal documents in the topic packets from previous meetings.

Submission guidance

  • Describe the code or change you wish to revise. Suggest where it should be placed within the ICD-10-CM classification structure.
  • Include rationale for why the new code or change is needed, including clinical relevancy.
  • Align your proposal with the structure and conventions of the ICD-10-CM classification system.
  • Submit supporting clinical references and literature with the proposal.
  • Do not exceed two pages, including clinical justification.
  • Submit proposals to nchsicd10CM@cdc.gov by the meeting deadline listed on the upcoming meetings page.
  • Provide the name of the people or organization requesting revisions. Indicate a primary point of contact with contact information.

Proposals approved for presentation

Once proposals are reviewed, you will receive notification if your proposal has been accepted for presentation. If accepted, you are welcome to submit a clinical presentation.

If submitting a clinical presentation—

  • You must submit 508-compliant PowerPoint slides for your presentation.
    • PowerPoint slides must be received at least three weeks before the meeting.
  • Your presentation should not include reference to the proposed ICD-10-CM code changes or any reimbursement or payor issues.

During the meeting

  • ICD-10-CM diagnosis proposals are presented.
    • The committee does not discuss reimbursement, insurance, and payor issues.
  • No decisions are made at the meeting.
  • The committee welcomes public and written comments during and after the meeting.

Meeting registration and materials‎

Find meeting registration instructions and download meeting materials.

After the meeting

  • The public comment period remains open for a designated time.
  • After the comment period closes—
    • The committee considers public and written comments.
    • HHS reviews and evaluates all recommendations and comments.
    • HHS makes final decisions.