DecisionHealth, DecisionHealth - 2015 Issue 9 (September)

Transition to ICD-10: Don’t focus on the family — CMS revisits FAQ to emphasize ICD-10 rules

An unspecified ICD-10 diagnosis code might save a claim from a post-payment audit, but it must be valid to get through the initial submission phase, CMS emphasized in its July 31 revision to a Q&A on its ICD-10 safe harbor (see story, New CMS ICD-10 Q&A emphasizes requirements for valid codes). The update contains new examples to answer lingering questions about the level of specificity required on claims and how the “family of codes” impacts coding.
 

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