ICD-9-CM coding info for those billing Part B carriers
Rehab Regs, June 13, 2003
Outpatient rehab providers submitting Part B claims to carriers should check out new CMS guidance on the proper use of diagnosis coding. In a draft of Program Memorandum (PM) B-03-046 released by CMS, the agency distributed a provider education article about the proper use of ICD-9-CM codes. For those bills with dates of service on or after October 1, CMS will require that all paper and electronic claims submitted to carriers by OTs, PTs, physicians, non-physician practitioners, and others--with the exception of ambulance suppliers--contain a valid diagnosis code. Carriers will no longer place codes on claims they receive before submitting them to the common working file. Instead, providers who submit the claims to the carriers must include a valid ICD-9-CM code, and should make sure all necessary information needed for accurate coding is included on orders and referrals. Go to http://www.rehabregs.com/ppsrc/#Therapy to read PM B-03-046 once it is released.
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