Some of the diagnosis codes you've been using for your clients will no longer be valid starting October 1st, 2019. Whether you file insurance claims or not, you'll need to make sure that you update your records to avoid any issues.
Important: If you don't bill insurance, you'll need to follow steps #2 and #3 below. If you do insurance billing, make sure to follow all of the steps below.
- Submit your claims for any appointments that took place prior to October 1st and make sure you don't include any post-October 1st appointments on these claims. This is to avoid any mix-ups on the payer's end.
- Find out if the diagnosis code(s) you frequently use have been modified.
- If the diagnosis code for a client needs to be updated, you must update the code for all future appointments beginning October 1st. Here's how:
- Go to the client's Overview page
- Click +Create > Diagnosis & Treatment Plan
- Select the new diagnosis code from the drop-down menu
- Set the Date & Time of Diagnosis to a date on or after October 1, 2019:
From then on, every claim you create for every appointment that took place after October 1st should show up with the updated diagnosis code in box 21. Verify this before you submit any claims to avoid rejections from the payers. You will also notice the new diagnosis codes on your superbills.
Important: Deprecated ICD codes will remain in the system until December 1, 2019. This is to allow time for appointments before October 1 to process.
If you need to use an old code after December 1, 2019, you'll need to add it to your claim form manually:
Note: For more information, please see the resources provided by CMS.