Massage & Bodywork

JANUARY | FEBRUARY 2016

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ICD-10 If you do any insurance billing for services performed in your practice, you are probably aware that as of October 1, 2015, there was a major change in the codes used by health-care providers to identify diagnoses. It is your responsibility to know and use the new ICD-10 codes in your insurance billing; otherwise, you won't be reimbursed for the services you provide to your clients. Let's dive right into the details of what an ICD- 10 code is and how it will affect your billing. TRANSITION TIME The International Classification of Diseases (ICD) is a standard diagnostic coding system implemented by the World Health Organization (WHO). ICD-10 is the 10th Revision, Clinical Modification (ICD- 10-CM) and replaces the International Classification of Diseases, 9th Revision (ICD-9, which was developed by WHO in the 1970s). You must now submit claims using ICD-10 codes for any services provided on or after October 1, 2015. ICD-9 codes on claims with dates of service (DOS)/dates of discharge (DOD) before the October 1 compliance date will be accepted. ICD-9 codes on claims with DOS or DOD on or after the October 1 compliance date will not be accepted. Therefore, you must use the ICD-10 codes for DOS or DOD after the October 1 compliance date. If you have dates of service to bill that cover both before and after the change date, it is recommended you split your claim (bill) into separate bills, using the ICD-9 codes for dates of service prior to October 1 and use ICD-10 codes for after October 1. When, and if, you resubmit a claim, use the codes that were/are valid for the specific date of service. ICD codes are different from Current Procedural Terminology (CPT) codes. ICD codes are used by prescribing physicians and other health-care providers to define the specific patient diagnosis. ICD‐10 does not replace CPT codes, which are used for billing. The transition to ICD-10 does not affect your use of CPT coding, as long as you are providing outpatient procedures. ICD-10-PCS codes are for billing hospital inpatient procedures only. For a free copy of the most common ICD-9 to ICD-10 translations that affect massage therapists in the United States, email Irene Diamond at info@diamondwellness.com with subject line "ABMP ICD-10," and she will email you the resources she's compiled as a gift for practitioners. C h e c k o u t A B M P 's l a t e s t n e w s a n d b l o g p o s t s . Av a i l a b l e a t w w w. a b m p . c o m . 75

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