Billing, ICD-10, News, Skilled Nursing Facility

CMS issues ICD-10 split claims billing instructions

CMS issued a MLN Matters article that offers instructions that clarify the policy for processing claims for certain institutional encounters that span the ICD-10 implementation date of October 1, 2014.

Skilled Nursing Facilities (Inpatient Part B):

  • Bill type: 22X
  • Use FROM date
  • Require providers split the claim so all ICD-9 codes remain on one claim with Dates of Service (DOS) through 9/30/2014 and all ICD-10 codes placed on the other claim with DOS beginning 10/1/2014 and later.

Skilled Nursing Facilities (Outpatient):

  • Bill type: 23X
  • Use FROM date
  • Require providers split the claim so all ICD-9 codes remain on one claim with DOS through 9/30/2014 and all ICD-10 codes placed on the other claim with DOS beginning 10/1/2014 and later.

Read the MLN Matters guidance in full today!