Can the new ICD-10 codes be submitted once Medicare implements the new version 5010 transactions?
Until the business rules for ICD-10 codes are implemented, Medicare will reject ICD-10 code set values if they are submitted on version 5010 EDI claims. The HIPAA 5010 project is a pre-requisite for the ICD-10 project. Implementation of the ICD-10 is a separate project. The 5010 format allows ICD-9 and/or ICD-10 CM & PCS code set values in the transaction standard but the business rules for using ICD-10 code set values will be defined with the ICD-10 project at a later date.
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