Q: Are there any plans to change CPT codes as well? A: No. CPT codes are unchanged by the ICD-10 transition.

Q: Are we still using E&M coding with the new codes?

A: ICD-10 is just diagnosis codes. We will still be using the same CPT codes for procedures.

Q: Could we use the old CMS-1500 forms with the new codes? How about the new forms with the old codes? A: The old form is to be retired April 1. Since ICD-10 does not kick in until Oct. 1, 2014, there won’t be any op- portunity to list them on the old form. Between April 1 and Oct. 1, we will be using ICD-9 codes on the newer CMS-1500. After that, it will be all new forms and new codes.

Q: Suppose a Medicare patient fell at home, causing neck, upper back, and lower back complaints, and he or she received chiropractic manipulative therapy code 98941 as the treatment. Are the subluxation codes still the odd-numbered codes used in box 21 on the CMS-1500 claim form? And the secondary codes go in the even-num- bered spaces? Where would the V, X, and Y codes go? A: The new claim form labels each code with the letters A-L rather than 1-4 to avoid confusion in the  have new codes to use, but the rules regarding primary subluxation codes and secondary neuromusculoskeletal diagnoses will not change. V, W, X, and Y codes (i.e. external cause codes from chapter 20) are not required, but we are encouraged to use them. If we do, they will go last, according to ICD-10 guidelines for that chapter.



 not diagnosis codes. The CPT codes are not altered by the ICD-10 transition.

Te Missouri Chiropractor  July 2014 Starts October 2015

Q: Will all CPTs need pointers to ICD- 10 codes? A: Yes. All CPTs need to point to a diagnosis code to establish medical necessity. Otherwise it looks like you have no reason to provide the care. This is not new with ICD-10. All procedures without a relevant diagnosis will be denied.

Q: Are we able to switch over to ICD- 10 now and get reimbursed for it now? A: We may not use ICD-10 codes until Oct. 1, 2014. Claims with ICD- 10 codes will not be accepted before that date. However, you may be able to send test claims to some payors as the date gets closer.

Q: Will we be using ICD-10 for workers’ compensation as well? A: ICD-10 is mandated under the HIPAA law, and workers’ compensation and PI plans are not included. They are not obligated to switch, but it is expected that most will. Check with your carriers to be sure.

Q: If a patient comes in for a therapy that is not covered under auto insurance, but is covered by health insurance, would you use ICD-9 codes for the auto claim? And then once a denial is received change the codes to ICD-10 codes for the health insurance? A: That is a possibility…and a real mess. Fortunately, rumor has it that all major auto policies have elected to use ICD-10 codes. But you will need to check with each one you do business with to be sure.

Source:

http://icd10monitor.com/enews/item/1155-icd-10-faqs- for-chiropractors

Coding - Education - Services

2014 ChiroCode DeskBook 22nd Annual Edition 9 Books in 1 $129 Free S/H

“NEW” 2014 HIPAA

Compliance 3rd Edition $129

Free S/H

2014 ChiroCode ICD–10 Coding for Chiropractic 2nd Edition Making the Change to ICD – 10 $129 Free S/H

FOUR WAYS TO ORDER: PHONE: 800-944-9877 FAX: 602-997-9755

EMAIL: dealer@chirocode.com MAIL: 62 East 300 North, Spanish Fork, UT 84660

19

ICD-10