Billing Beat

ICD-10 pre-authorizations to begin in June for service dates 10/1/2015 or after

June 24, 2015

Starting June 1, 2015, Empire NY will begin accepting and processing preauthorization requests containing ICD-10 codes for services scheduled on or after October 1, 2015, the mandated ICD-10 compliance date. Note that you must continue to use ICD-9 codes to pre-authorize services scheduled through September 30, 2015. Some pre-authorizations may span the October 1, 2015 compliance date. The code set of the preauthorization will vary, depending on the scenario. Empire has provided a chart that will help you determine what code set to use for your pre-authorizations.

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