NGHP Mandatory Insurer Reporting Reminder: ICD-10-CM Diagnosis Codes Coming Soon, 10/01/15
In a Technical Alert dated January 28, 2015, CMS issued a reminder that October 1, 2015 is the date to remember for reporting ICD-10-CM diagnosis codes, but for most RREs, testing can be completed now.
Prior to October 1, 2015, RREs are encouraged to submit test files with ICD-10-CM diagnosis codes, but for actual reporting, the use of ICD-9-CM codes continues to be mandatory. Note that testing is not available for DDE submitters.
As of October 1, 2015, ICD-10-CM diagnosis codes are required for reports with a CMS date of injury on or after October 1, 2015. For add or update records with a CMS date of injury prior to October 1, 2015, the RRE has the option of using either ICD-9-CM codes or ICD-10-CM codes, but may not combine them in the same record. When an RRE submits an update there is no requirement to convert ICD-9-CM codes that were previously submitted to and accepted by CMS.