Thursday, October 10, 2013

HIPAA Transaction impacted by ICD-10 codes

http://urtesting.blogspot.com/
There are many transaction that are going to be impacted by ICD-10 diagnosis and procedure codes. Offcousre the 837 insutional and professional claims has a huge impact but almost all the most used HIPAA transaction has impact except the 835 transaction.
834 has a impactd when enrolling a member for pre-existing condition where Diagnosis code comes in 834 edi files.There is an impact on 270 and 271 transaction for claims status and also for 278 for referral when provider is referring for a condtion that has a diagnosis code.

837 - Profession - has a impact
837 - Instuitional - has a impact
837 - Dental - has a impact

270 - has a impact
271- has a impact

278 - has a impact.

835 - No impact .. but there need to a testing of 835 for the ICD-10 claims for making sure that 835 generates as expected for ICD-10 837 edi files.

Please feel free to comments ..and ask any question if you have..

1 comment:

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