tci E/M Coding Alert - 2015 Issue 12

Reader Question: Contact Your WC Payers Before Billing ICD-10

Question: I have heard I won’t use ICD-10 for workers’ compensation related claims. Is that true? Vermont Subscriber Answer: You might need to use both ICD-9 as well as ICD-10 in specific cases as workers’ compensation payers do not need to make the switch. Check your state’s laws first. As of Aug. 25, just 21 of the U.S. states had agreed to start using ICD-10 on Oct.1, 2015 for their inpatient and outpatient workers’ compensation claims, according to a study by the Workgroup for Electronic Data Interchange (WEDI). States such as Ohio, North Carolina, and...

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