CMS recently reminded providers that Medicare claims with a date of service on or after October 1, 2015, “will be rejected if they do not contain a valid ICD-10 code.”  As CMS explained, “[t]he Medicare claims processing systems do not have the capability to accept ICD-9 codes for dates of service after September 30, 2015 . . . or accept claims that contain both ICD-9 and ICD-10 codes.” 

CMS stated that its claims processing systems are equipped to handle the transition to ICD-10.  CMS maintained that a third ICD-10 test run involving fee-for-service providers, clearinghouses, and billing agencies took place July 20-24 and that “CMS was able to accommodate most volunteers, representing a broad cross-section of provider, claim, and submitter types.”

To view recent guidance from CMS regarding the ICD-10 transition, click here.

Reporter, Ramsey Prather, Atlanta, +1 404 572 4624, rprather@kslaw.com.