As of Oct. 1, 2013, claims submitted in the United States must use ICD-10 codes and insurers will reject claims with ICD-9 codes. So what happens if a claim for treatment crosses the ICD-10 implementation date, with ICD-9 codes effective for services on Sept. 30 and earlier, and ICD-10 codes effective starting Oct. 1?
That's the subject of new guidance from the Centers for Medicare and Medicaid Services on its Medicare Learning Network Web site at cms.gov/MLNMattersArticles/. "In some cases, depending on the policies associated with those services, there cannot be a break in service or time (i.e., anesthesia) although the new ICD-10 codes set must be used effective October 1, 2013," CMS notes in the guidance.
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