NGS Change in Processing Claims for Noncovered ICD-10 Diagnosis Codes

Effective for claims received 1/1/2016 with dates of service 10/1/2015 and after, claims submitted with a combination of non-covered routine diagnosis codes and payable diagnosis codes will be considered for payment. Providers that submit claims with the intent of denial for supplemental insurance will no longer be able to submit a routine diagnosis for denial unless all of the reported diagnosis codes are routine non-covered. A combination of the routine diagnosis and the use of “GY” modifier will be required for denial.

Source: https://www.ngsmedicare.com/ngs/portal/ngsmedicare/newngs/home-lob/news-alerts/news-articles/news-detail/ngs change in processing claims for noncovered icd-10 diagnosis codes/!ut/p/a1/vVJBb8IgGP0reNiRQG219UitOt206mK0vRiktDItNKXRbL9-1LnMHZxbsowTD973fY_3QDFaoVjSg8hoJZSk-xrH7bVDhj3L6uKH0LvHmDwExCGTge0tLLREMYo1PXCm1E7wGrE9p-UnnPcGw3ByupBVUW1RJDOd80QwWpoqWXFZSX68wxfH75gfNaQygXTPy0p_HJSVMBMMPNeeCgHbUplxICQoSsW41kJmgO2pyDVIVQmkkkwdeMkTIFgCLQwSQTOptDC1KuG6FlgwkaDIY27aoi0X0rTpQIe3Pdjh7Q3EbqvTZh2b8qZTsx9DH0VTowf4xqfI-ISvLIJ_ZOMXih16mDh9PwhmU3vgN8-Eb0ZERoN7dYhloae6x7I7Xs8WvblhX8Rm0GVsBp5jM7vLd_7OpBuK7P9XNLoVhAmyWY6748y0pdUWCpkqtPqbH7bso3gaxKPoiIp8Nx94dg5X-LlVZCR4TfOckOkExpsX0mi8AcNJXIE!/dl5/d5/L2dBISEvZ0FBIS9nQSEh/?clearcookie=&savecookie=&REGION=&LOB=Part%20B