Billing Beat

Physician Orders for Lab, Radiology Services, and Other Services after ICD-10 Implementation

September 29, 2015

CMS is not requiring updated physician (or non-physician practitioner) orders for lab, radiology services, or any other services after ICD-10 implementation on October 1, 2015. However, these claims must contain a valid ICD-10-CM diagnosis code. When providing services that were ordered before the ICD-10 implementation date of October 1, 2015, providers have the option to use the General Equivalence Mappings (GEMs) to translate ICD–9-CM codes into ICD–10-CM diagnosis codes. Physician orders written after the transition to ICD-10 must use ICD-10-CM codes.

Source: https://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Downloads/2015-09-17-eNews.pdf

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