AMA CPT® Assistant - 2015 Issue 11 (November)

Managing Potential ICD-10-Related Issues (November 2015)

November 2015 page 9 Managing Potential ICD-10-Related Issues With the International Classification of Diseases, Tenth Revision (ICD-10), both the Clinical Modification (ICD-10-CM) and Procedure Coding System (PCS), now in effect, all health care claims and other administrative transactions (eg, eligibility, prior authorization and others) for dates of service on and/or after October 1, 2015, must be coded with an ICD-10-CM diagnosis code. Transactions that are reported with ICD-9-CM diagnosis codes for services provided on and/or after October 1, 2015, will be rejected by all payers. As a result of the newness of the transition and the complexity of the...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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