Outpatient Facility Coding Alert - 2013 Issue 3
Physician Notes: CMS Urges Contractors to Add ICD-10 Codes to National Coverage Determinations
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Article Overview
This article summarizes a CMS update affecting National Coverage Determinations during the ICD-10 transition and mentions a related CMS reminder about ordering/referring edits. It is relevant to physicians, practices, coders, and compliance staff who track Medicare coverage guidance and implementation timing. The article focuses on the administrative direction CMS gave contractors, the broader impact on payer coverage alignment, and the source CMS communication referenced in the update.
Why This Topic Matters
Coverage determination updates can affect how practices understand Medicare payment policy during ICD-10 implementation. This article helps readers follow CMS operational guidance and anticipate changes that may influence diagnosis-code coverage review processes.
What You Will Learn
- How CMS is guiding contractors during the ICD-10 transition
- What the update means in the context of Medicare coverage determinations
- Why the timing of CMS implementation guidance matters for practices
- How the article connects the coverage update with a separate CMS reminder on ordering/referring edits
Who Should Read This
- Physicians
- Medical practice managers
- Medical coders
- Billing staff
- Compliance professionals
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