Changes were made to the way authorizations and referrals are processed in
regards to ICD-9/ICD-10 coding, as reflected in the recent NaviNet
enhancements.
Please use the updated guidelines below when submitting an
authorization and/or referral for services that occur on or around the October
1, 2015, ICD-10 compliance date:
- All authorization and referral requests submitted with an
anticipated/proposed date of service prior to and including September 30, 2015,
are required to use ICD-9 codes.
- All authorization and referral requests submitted with an
anticipated/proposed date of service on or after October 1, 2015, are required
to use ICD-10 codes.
Code set to use when requesting authorization or referral for
professional, inpatient, and outpatient services
| Anticipated/Proposed date of service | Code set to use |
|---|
| Prior to and including September 30, 2015 | ICD-9 |
| On or after October 1, 2015 | ICD-10 |