ICD-10 Codes Are Coming
ICD-10 codes are coming October 1, 2015. This process has been in the works for many years. While there have been delays in the past, no further delays are expected. Consequently, it is more important than ever that all healthcare organizations are fully prepared. This affects ALL healthcare payers and providers covered under HIPAA.
The codes are date of service specific. This means that for a piece of equipment provided to a patient September 30, 2015, the provider must submit a claim using ICD-9 code(s) to prove medical necessity and receive payment. ICD-10 codes will not be accepted prior to the implementation date of October 1, 2015. Conversely, if the patient delayed delivery by one day for whatever reason and the equipment is delivered October 1, 2015, then the claim can only be paid if an ICD-10 code is provided.
So we are fully prepared, Miller's will be requesting both ICD-9 codes and ICD-10 codes when sending out Certificates of Medical Necessity, Letters of Medical Necessity, Detailed Written Orders, etc. Rental equipment and recurring medical supplies spanning the October effective date will require both codes due to overlap. Furthermore, specialized wheelchairs usually take several months from evaluation to delivery because of all the steps required including paperwork, insurance authorization, scheduling, etc. Miller's will request both code sets to ensure no unnecessary delays for equipment that is in process prior to the October effective date.