Reader Question: Avoid ICD-9 and ICD-10 on Single Claim

Why This Topic Matters

Claims that cross major code-set implementation dates can create submission and payment issues if handled incorrectly. Understanding the general billing approach helps avoid unprocessable claims and supports cleaner transition-period processing.

Article Sections

1. Question

   A billing scenario is presented involving services that span the ICD-10 implementation period. The question asks how the claim should be handled when different diagnostic code sets may apply to different dates of service.

2. Answer

   The response provides general guidance on claim submission during the transition period and refers to CMS policy and related Medicare learning network material. It also notes a special circumstance discussed in the source article.

3. Read more

   This section points to a CMS resource for additional information on the topic. It serves as a reference for readers who want to review the source guidance directly.