tci General Surgery Coding Alert - 2016 Issue 1

Reader Question: Avoid ICD-9 and ICD-10 on Single Claim

Question: The surgeon admitted a patient at the end of September and completed the patient discharge in October. Because of the ICD-10 implementation, we are not sure how to bill this claim. Do we use both ICD-9 and ICD-10 codes on the same claim since the dates of service span the implementation date? California Subscriber Answer: No, you should not use both code sets on a single claim. Instead, you will need to submit two claims — one using ICD-9 codes and one using ICD-10 codes. Here’s why: CMS will return claims as unprocessable if they contain both...

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