Posted by Randhir Tulli 19 Oct 2015

ICD-10 Update

ICD-10 Reminders

Although the transition to ICD-10 has been smooth, we are seeing a few common errors from our providers when submitting claims.

Here are some reminders to help you submit claims correctly:

  • Qualifiers and codes must match. If you send ICD-10 codes, you must send ICD-10 qualifiers. If you send ICD-9 codes, you must send ICD-9 qualifiers.
  • If the Dates of Service on the claim are prior to October 1, 2015, you cannot send an ICD-10 coded claim.
  • Outpatient and Professional Claims will generally need to be split, with Dates of Service prior to Allowed Date as ICD-9, and Dates of Service on or after Enforcement Date as ICD-10. See CMS split guidelines.
  • ICD-10 codes must be submitted with the required number of digits.

Action Required: Follow the guidelines above.

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