The effective date for ICD-10 2018 code updates is fast approaching on Oct. 1, and for the last time Medicare will help you out with the transition with General Equivalence Mappings (GEMs). “This is the last year that the GEMs will be produced,” the Centers for Medicare & Medicaid Services notes. See links to the GEMs and other information at www.cms.gov/Medicare/Coding/ICD10/2018-ICD-10-CM-and-GEMs.html.