On Oct. 1, 2015, physicians were required to start reporting patient diagnoses and submitting claims using the ICD-10 code set. Physician practices, hospitals, Medicare, Medicaid, private payers, and clearinghouses are all required to use this code set.
Claims filed using ICD-9 will be denied as unprocessable.
CMS' leniency policy expires Sept. 30, 2016. On Oct. 1, 2016, "providers will be required to code to accurately reflect the clinical documentation in as much specificity as possible, as per the required coding guidelines,” CMS said in the updated guidance. Medicare will not phase in the requirement to code to the highest level of specificity since providers should already be doing this.
Browse the resources below to help you successfully transition to the ICD-10 coding system.