Home Administrative Billing & Reimbursement Health and Wellness Medical PEAR portal Pharmacy Products Quality Management

ICD-10 codes now available in medical and claim payment policies

March 28, 2013

As you know, the International Classification of Diseases, 10th Edition (ICD-10) diagnosis and procedure codes will become effective October 1, 2014. All covered entities must comply with ICD-10 ? one of the biggest mandated medical data code set initiatives ? by this date. AmeriHealth continues to work on the transition from ICD-9 to ICD-10.To help ease the transition and familiarize you with the differences in the coding structure, AmeriHealth has begun to add ICD-10 procedure and diagnosis codes to medical and claim payment policies, along with the current ICD-9 codes. As new policies are written and existing policies are reviewed and updated, certified medical coders will assess each AmeriHealth policy and add ICD-10 codes. While the ICD-10 codes are not in effect until 2014, you can see how ICD-10 codes will appear in our policies and how they differ from the ICD-9 codes.Please note that the ICD-10 codes included in AmeriHealth policies are for informational purposes only. Please do not begin reporting ICD-10 codes on claims submitted until October 1, 2014.[

]Accessing ICD-10 codes[

]Visit the [Medical Policy Portal] to view our medical and claim payment policies. The ICD-10 codes appear in the Coding Table section of each policy and can be viewed either as a single list or in a side-by-side table with ICD-9 codes. To view the ICD-10 codes as a single list, go to the Coding Table, choose either the ICD Procedure or ICD Diagnosis tab, and select the ICD-10 button within the ICD Diagnosis Code Number(s) and Narrative(s) heading. See the example below for Medical Policy #08.00.99a: Belimumab (Benlysta?). [
]To view ICD-9 and ICD-10 codes in a side-by-side table, select the Click to view both ICD-9 and ICD-10 link that appears just below the ICD-10 button. Both ICD-9 and ICD-10 codes will display in a user-friendly table. See the example below for Medical Policy #08.00.99a: Belimumab (Benlysta?).[
]For more information on the AmeriHealth transition to ICD-10, including our ICD-10 Spotlight: Know the codes andPutting ICD-10 into Practice: Coding exercises and scenarios booklets, visit the []ICD-10[] section of our website.

This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of AmeriHealth, AmeriHealth HMO, Inc., AmeriHealth Insurance Company of New Jersey.
© 2023 AmeriHealth Site Map        Anti-Fraud        Privacy Policy        Legal        Disclaimer