ICD-10 Providers Information

 Expanded diagnosis and surgical procedure code sets to be much more specific  Expanded field format for ICD-10 codes  From 3-5 to 3-7  Compliance of HIPAA mandate to have bills paid effective 10/1/14  Bills with dates of service on or after 10/1/14 must use ICD-10 codes to be paid  Bills with dates of service prior to 10/1/14 must continue to use ICD-9 codes to have bills paid  IP Bills with a discharge date on or after 10/1/14 must use ICD-10 codes to be paid  IP Bills with a discharge date prior to 10/1/14 must continue to use ICD-9 codes to be paid  Bills cannot contain both ICD-9 and ICD-10 codes on the same bill

 The Office of Workers’ Compensation Programs (OWCP) will adopt the use of the International Classification of Diseases, 10th Edition diagnosis and procedure codes (ICD-10) on a schedule aligned with the Centers for Medicare & Medicaid Services (CMS)  For services provided on or after October 1, 2014, OWCP will require all providers to only use the ICD-10 code sets  For services provided prior to October 1, 2014, only ICD-9 codes will be accepted  We will be following CMS guidance for implementing ICD-10 on October 1, Please visit the CMS ICD-10 website for additional information, resources and the latest news on the ICD- 10 transition, ICD-10 Announcements Provider

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The National Uniform Claim Committee (NUCC) has approved a transition timeline for the version 02/ Health Insurance Claim Form (1500 Claim Form). In June, the NUCC announced the approval of the updated 1500 Claim Form that accommodates reporting needs for ICD-10 and aligns with requirements in the Accredited Standards Committee X12 (ASC X12) Health Care Claim: Professional (837P) Version 5010 Technical Report Type  Effective March 1, 2014: Payers receive and process paper claims submitted only on the revised 1500 Claim Form (version 02/12)  ICD-10 codes will be rejected as an invalid code until October 1, Claim Form Changes

 Instructions on completing the new 1500 can be found at the following website under forms and links  How to Submit a 1500