Home Health & Hospice Week
ICD-10 Edits Cause Claims Problems Already
Published on Fri Apr 11, 2014
The ICD-10 deadline has been put off at least a year, but the new code set may still be causing you trouble right now.
Why? “Several diagnosis codes are both included in the ICD-9 and ICD-10 code files,” HHH Medicare Administrative Contractor CGS says on its website. “Therefore, billing transactions submitted with those ICD-9 codes are receiving reason code 31276 and 31277, for ICD-10 editing.” Affected claims are being suspended to status/location S M1276 or S M1277.
The issue reported last month has now been resolved, CGS says. Watch for CGS to release affected claims to continue processing.
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