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Pathology/Lab Coding Alert

ICD-10:

Get it Right When DOS Spans ICD-9/ICD-10 Implementation Date

Published on Tue Nov 08, 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 lab begins a 24-hour urine creatinine test, beginning collection at 10 a.m. on Sept. 30, 2013 and completing the procedures at 10 a.m. on Oct. 1, 2013. That means the date of service (DOS) spans the ICD-10 implementation date. Should the lab report ICD-9 codes, ICD-10 codes, or both for the ordering diagnosis for the test? In an "ICD-10 National Provider Teleconference," CMS' 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 split," but indicated that specific instruction would be forthcoming. Follow Transmittal 950 GuidanceProviders recently received the promised guidance [...]
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