Bulletin
February 2015
Version 2015 ICD-10-CA/CCI Classifications,
Canadian Coding Standards for v2015 ICD-10-CA and
CCI and Evolution tables now available
Version 2015 ICD-10-CA/CCI Classifications
The Canadian Institute for Health Information (CIHI) is pleased to announce that version 2015 ICD-10-CA/CCI
Folio application is now available to download from the CIHI website.
Version 2015 ICD-10-CA/CCI comes into effect April 1, 2015. We recommend that you complete this process
early to allow yourself sufficient time to address any questions you may have prior to April 1.
Streamlined Download Process
Licences for version 2015 ICD-10-CA/CCI are embedded in these downloadable products. For your
convenience, there is only one step required for downloading.
To download version 2015 ICD-10-CA/CCI products, please see the Classifications page on CIHI’s website.
http://www.cihi.ca/Classifications V2015 ICD-10-CA/CCI
Note: You will need a CIHI eStore account to download the products from CIHI’s website. Please contact your
account manager for your account access information. If you don’t have an account, or are unsure of your
eligibility, contact the CIHI Order Desk. The licencing has changed for this version so it is important to read
the download instructions carefully to avoid incorrect charges being applied.
Summary of Changes
ICD-10-CA has 85 new codes and 26 disabled codes. The new codes in version 2015 of ICD-10-CA include
the 2011, 2012 and 2013 updates to ICD-10 received from the Update and Revision Committee of the World
Health Organization (WHO) as well as some additional Canadian enhancements including added laterality for
certain malignant neoplasms, new codes for central line associated blood stream infections, updated code
titles for fetal acidemia, and new codes for mechanical complications of hip and knee replacements.
CCI has 498 new codes and 297 disabled codes. The updates to CCI include new codes for cardiac
resynchronization therapy, new mandatory attributes for excisions of lesions and sentinel lymph node biopsies,
and revisions to the codes for central line insertions.
Shadow file
The version 2015 ICD-10-CA and CCI Shadow Files (.sdw) include a new functionality called “Export Notes”
that allows you to export your
personal notes to a log file
where your notes are listed in
the order they appear in your
Shadow File.
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Note: The “Upgrade Shadow” feature that allows you to merge your version 2012 Shadow Files with the
version 2015 Classifications will still remain.
For any technical or other questions, not related to the classifications content or coding questions, please
contact CIHI by email at help@cihi.ca.
Canadian Coding Standards for Version 2015 ICD-10-CA and CCI
CIHI is pleased to announce that the Canadian Coding Standards for Version 2015 ICD-10-CA and CCI are
available in English and French, in CIHI’s eStore. They are also available on the Coders’ Resource Page of
CIHI’s website (www.cihi.ca). This version of the Canadian Coding Standards incorporates changes found in
version 2015 of ICD-10-CA and CCI and applies to fiscal years 2015–2016, 2016–2017 and 2017–2018. The
next release of the Canadian Coding Standards will be in 2018.
These Canadian Coding Standards are effective beginning with April 1, 2015 separations and apply to all data
submitted to the Discharge Abstract Database (DAD) and the National Ambulatory Care Reporting System
(NACRS) (Level 3 NACRS reporting).
What Has Changed?
Commenting tools have been enabled in the coding standards in response to stakeholder consultations.
Adobe Reader version XI allows you to use notes, text boxes and drawing tools such as highlighting and
underlining. Two resources have been posted to the Coders’ Resource Page, “How to Search Within Acrobat”
and “How to – Commenting in Acrobat Reader” to assist in using this feature and in searching the PDF. If you
require further assistance, please contact your facility’s IT department. The use of the commenting features is
optional and not a requirement for facilities.
Appendix C—Table of Changes provides a comprehensive summary of all of the content changes made to the
Canadian Coding Standards.
Questions
Questions regarding the content of the version 2015 Coding Standards are to be submitted to the Coding
Standards team via CIHI’s eQuery tool, available through the “Applications” link on
CIHI’s website.
Evolution Tables for version 2015 ICD-10-CA/CCI
To assist with data retrieval from one version of the classification to the next, you may wish to purchase our
Evolution Tables. Evolution Tables trace the heritage of a current code in the classification and are useful as a
quick guide to understanding macro changes within the classification. Please contact the CIHI order desk at
orderdesk@cihi.ca if you wish to order the Evolution Tables.
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Educational Products in Support of Version 2015 ICD-10-CA/CCI and
the Canadian Coding Standards for Version 2015 ICD-10-CA and CCI
To facilitate the transition from version 2012 to version 2015, CIHI is updating all existing Classifications and
Terminologies education products. They will be available for use as of April 1, 2015 to align with
implementation of version 2015.
The What's New for Classifications and Terminologies for v2015? (Web Conference) and Moving Forward
using v2015 of ICD-10-CA and CCI (Self-Study) will be available in February 2015 to support the transition
from version 2012 to version 2015.
To register for Classifications and Terminologies education, please visit CIHI’s Learning Centre.
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