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Pathology/Lab Coding Alert

Reader Question:

ICD-10 Prep is Different for Paper Claims

Published on Fri Jan 07, 2011

Question: If we file paper claims to Medicare, will the claims form change once we begin using ICD-10? Will the form be updated, and will there be any changes for filing paper claims?Texas SubscriberAnswer: No, there is no current change to the CMS-1500 form used for filing paper claims for Medicare beneficiaries. CMS may announce changes as we move closer to the Oct. 1, 2013 deadline for implementing ICD-10, but no revisions to the form or claims-filing procedures are currently on the horizon for paper claims. On the other hand: For labs filing electronic transactions, you should no longer use forms 4010/4010A as of Jan. 1, 2012. Instead, your clinical laboratory or pathology group will need fully functional form 5010 to comply with the Health Insurance Portability & Accountability Act of 1996 (HIPAA) electronic transaction standards. Note: CMS recently announced that it will not initiate enforcement action for 5010 non-compliance [...]
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