There is an update to the ICD-10 code set that will go into effect on October 1st, 2016. This update will remove 311 codes from use while also adding 1974 new codes for use.
What you Need to Know
The ICD-10 changes go into effect October 1st, 2016 and are once again relate to the DATE OF SERVICE. Prior to 10/1 you can continue to use existing codes as normal. After 10/1 DO NOT USE deleted codes. This will result in a rejection/denial. New codes may be used as needed after 10/1.
Getting Updated Codes
We will be making the update from our side; no additional steps are required to access.
The update will be available through a downloadable ADI within the Add In Manager in Administrator:
(Administrator –> Add In Manager –> Download Add Ins –> Other Adds Ins –> ICD-10 2017 Update)
This ADI can be downloaded any time, so you do not need to wait until October 1st. Downloading early will NOT cause any visible changes until October 1st.
Changes You Will See
On October 1st, 2016 inactive codes will not show up in the diagnosis code list and newly added codes will then become visible.
On October 1st, 2016 inactive codes will no longer be suggested from the ICD-9 à ICD-10 Conversion Tool and newly added codes will get suggested from the appropriate ICD-9 code it converts from.
Locking a Note:
For dates of service after October 1st, you will be prompted when trying to lock the note that you must recode the case if that case contains a now deleted diagnosis code. For cases coded with an ICD-10 code that has been deleted will see ‘INVALID’ next to the deleted code.
End of Leniency Period
When ICD-10 was transitioned to on October 1st, 2015, Medicare granted a leniency period where they would not reject claims due to a lack of specificity. Medicare also encouraged other private insurances to follow suit and many did. This leniency period is coming to an end on October 1st, 2016.
UNSPECIFIED CODES should be AVOIDED if you would like to minimize your risk with regards to insurance denials.
Please be sure to reach out to our Support Center with any additional questions.