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  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.