Billing Beat

Providers Not Required to Revise Physician Orders Written Before Oct 1

November 30, 2015

CMS posted a new FAQ about physician orders written before the October 1 ICD-10 compliance date. FAQ 12625 explains that CMS is not requiring the ordering provider to translate ICD-9 diagnosis codes to ICD-10 on orders written before October 1 for lab, radiology, or any other services. For orders written before October 1 for services that will continue to be delivered and billed after October 1, providers can opt to use the General Equivalence Mappings (GEMs) to translate the ICD-9 codes on the original order to ICD-10. Providers are not required to update codes to ICD-10 for orders written before October 1.

Source: https://questions.cms.gov/faq.php?id=5005&faqId=12625

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