Transition to ICD-10 Less Than One Month Away

October 1 is the effective date for the transition from the International Classification of Diseases (ICD) version 9 to version 10.  For service dates on or after October 1, 2015, usage of ICD-9 coding will result in claims processing denials and/or delays for both Medicaid and Medicare services, according to the Department of Medical Assistance Services (DMAS) and the Centers for Medicare and Medicaid Services (CMS).

DMAS is still conducting ICD-10 end-to-end testing with providers, clearinghouses, and other trading partners until September 10, 2015.  Providers who would like to test should send an email to Virginia.EDISupport@xerox.com.  More information can be found on the Virginia Medicaid Web Portal (click “Provider Resources”; select “ICD-10”).

Click here for CMS ICD-10 information.  It is important to note that the American Health Care Association (AHCA) still has several questions pending with CMS regarding the ICD-10 transition in relation to recent guidance on practitioner billing and its applicability to Medicare services in nursing facilities; we will pass through any updates that AHCA receives.

Click here to read the latest CMS Provider eNews on ICD-10.