The transition to the new ICD-10 coding system takes effect today. Do you need some guidance? TMA has you covered with a variety of tools and resources to get you up to speed.
Remember: ICD-10 is service-date driven, so if you file a claim on or after Oct. 1 for services you provided Sept. 30 or earlier, you must file the claim using ICD-9 codes. If you run into problems submitting claims, send a report to TMA's Hassle Factor Log or email PaymentAdvocacy@texmed.org. TMA staff will be monitoring the reports and contacting health plans, Medicare, or Medicaid as necessary.
Payers expect they'll receive late filings and adjustments of pre-Oct. 1 claims and will continue to accept ICD-9 codes for those claims. Submit adjusted claims using the code set with which you originally filed the claim. Never combine ICD-9 and ICD-10 codes on one claim.
Also note: ICD-10 does not require payers to change their late filing requirements to accommodate the transition to ICD-10. Contact payers for the current information regarding late filing for claims. These payers have good payer-specific FAQs about ICD-10 on their websites:
See also the Centers for Medicare & Medicaid Services' (CMS') FAQs for guidance.
TMA can help, too, even if you're far behind:
- Find TMA member discounts on coding resources from InGauge Healthcare Solutions.
- Check out TMA's on-demand webinar Essentials in ICD-10 Coding. This webinar dives into the ICD-10 code set and delivers a deeper understanding for practice staff who touch diagnosis data — managers, billers, coders, front desk, and clinical staff who will gain confidence in working with the codes.
- TMA is offering physicians the e-MDs ICD-10 Code Search Tool at no cost, as a benefit of membership. Using a combination of keyword filters, anatomical locations, gender, and age, the tool offers a highly intuitive way to build a narrow list of billable ICD-10 codes based on user preferences.
- Register for on-demand recordings of ICD-10 planning and implementation courses.
- Visit TMA's ICD-10 Resource Center for tools and information.
Also, check out the CMS ICD-10 Transition Checklist and the blog of ICD-10 Ombudsman William Rogers, MD. The blog has information about tools that are available to assist those who need help with the switch.
Questions? Contact the TMA Knowledge Center by calling (800) 880-7955, Monday-Friday, 8:15 am-5:15 pm CT, or by email.
Action, Oct. 1, 2015
Last Updated On
December 12, 2016