tci Outpatient Facility Coding Alert - 2014 Issue 7

ICD-10 Transition: Don't Fall for the Myth That ICD-10 Won't Affect Outpatient Services

Be equipped with the plan of action to embrace the new system  The notion that outpatient services will not be affected by the ICD-10 transition is creating a false complacency in outpatient coders which might lead to a significant number of claim denials and underpayment of rightful claims. Background: ICD-10 is divided into two parts: the ICD-10-CM diagnostic codes, and the ICD-10-PCS procedure codes. It is a fact that that ICD-10-PCS will be used exclusively to code procedures provided for inpatient services, while the majority of payers will continue to accept the most current edition of CPR® codes for...

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