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General Surgery Coding Alert

ICD-10:

Do This When DOS Spans ICD-9/ICD-10 Implementation Date

Published on Wed Oct 19, 2011

Distinguish "from" and "through" dates.You know you'll need to start using ICD-10 diagnosis codes for services provided on or after Oct. 1, 2013 -- but what about claims for services that begin prior to Oct. 1 and end on or after that date?Example: The general surgeon begins trauma surgery at 10 p.m. on Sept. 30, 2013 and completes the procedures at 1:30 a.m. on Oct. 1, 2013. That means the date of service (DOS) spans the ICD-10 implementation date. Should providers involved in the surgery report ICD-9 codes, ICD-10 codes, or both? You can't report both ICD-9 and ICD-10 codes on the same claim CMS has said -- those claims will be returned to providers unpaid and marked as "unprocessable."In an "ICD-10 National Provider Teleconference", CMS's Sarah Shirey-Losso stated that "Some claims will continue to use the discharge date, some will use the 'from' date, and some may be required to be [...]
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