After the implementation of ICD-10-CM and ICD-10-PCS, will providers stop reporting ICD-9-CM codes on claims?
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Transactions and Code Sets Rule requires that medical data codes that are valid at the time health care is furnished be used for reporting services. For inpatient claims, the date of discharge is used as the date to determine valid medical codes and other codes that are dependent upon service date for validity. For outpatient claims, the actual date that the service was rendered is reported with the service item at the line level and used to determine valid medical codes and other codes that are subject to service date for validity.
Related Questions
- Why are there significantly more ICD-10-CM and ICD-10-PCS codes than ICD-9-CM diagnosis and procedure codes?
- How will the implementation of ICD-10-CM and ICD-10-PCS change the Medicare prospective payment systems (PPS)?
- How might the implementation of ICD-10-CM and ICD-10-PCS be expected to impact quality reporting?
