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Updated UB-04 guide and CMS-1500 toolkit now available

October 30, 2015

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To accommodate the new ICD environment, we recently updated our UB-04 claims submission guide and the CMS-1500 claims submission toolkit to explain how providers should appropriately bill ICD-9 and ICD-10 codes. The appropriate ICD diagnosis code indicator ("9" = ICD-9; "0" = ICD-10) and corresponding code set should be used in the following fields:

  • UB-04: Fields 66 and 67
  • CMS-1500 (02/12): Field 21
For AmeriHealth Pennsylvania, these updated resources are now available. These resources will be available in early November for AmeriHealth New Jersey.

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