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You are here: Home / Claims / ICD-10 Billing Notice to Medical Providers

ICD-10 Billing Notice to Medical Providers

Effective October 1, 2015, the Puget Sound Workers’ Compensation Trust will be adopting ICD-10 codes to align with the Washington State Department of Labor & Industries and the Centers for Medicare and Medicaid Services.

How does this affect medical providers?

  • You must code bills in ICD-10 for all dates of service on or after October 1, 2015.
  • You must code bills in ICD-9 for all dates of service on or before September 30, 2015.
  • If you bill with the incorrect ICD code, that bill will be denied.
  • ICD-10s need to be on the Provider’s Initial Report (PIR) for dates of service on or after October 1, 2015.
  • Medical records and chart notes will require a higher level of diagnostic detail than they did when using ICD-9.

Use the tables below to determine how these codes will be processed.

For General Billing:ICD-10 Table 1

For Inpatient Services:ICD-10 Table 2

If you have questions or concerns, please call us at 1-877-955-9675.

For additional information, you can also refer to L&I’s “10 Things Providers Need to Know About ICD-10 at L&I“.

 

Filed Under: Claims, News, Workers' Compensation Trust Tagged With: billing, ICD-10 codes, ICD-9 codes, medical providers

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