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CMS Gives Providers Some ICD-10 Flexibility

Hospitals and other providers will have one year to ensure accurate coding as they complete the transition to the International Classification of Diseases, 10th Edition (ICD-10), the Centers for Medicare & Medicaid Services (CMS) says in new guidance.

CMS said it will not deny physician claims due to incorrect ICD-10 codes, as long as the code the provider lists on the claim belongs to the correct code family. The agency also said the one-year grace period will apply to similar accuracy issues in the meaningful use, value-based modifier, and Physician Quality Reporting System programs.

Providers must begin submitting claims to CMS using ICD-10 codes on Oct. 1. America’s Essential Hospitals will host a July 16 webinar to help member hospitals make a seamless transition to the new ICD-10 code set. All hospital staff involved with the transition to ICD-10 are encouraged to attend.

Contact Policy Analyst Shahid Zaman at szaman@essentialhospitals.org or 202.585.0124 with questions.

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About the Author

Matt Buechner is the policy and advocacy associate for America's Essential Hospitals.

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