New valid codes are added and descriptions of existing codes are revised annually.
Once identified for Section 111 reporting, diagnosis codes are retained on the lists from year to year. CMS reviews ICD 10 codes annually to identify the codes that may be used for Section 111 NGHP Claim Input File Detail Record submissions. There are diagnosis codes that are applicable to liability and workers’ compensation situations but are not applicable to no-fault accidents or injuries. The diagnosis code lists are derived from ICD-10 diagnosis codes that CMS posts each year so that providers and suppliers utilize the applicable diagnosis codes when submitting medical claims to Medicare. Excluded Liability and No-Fault ICD-9 List.Excluded Liability and No-Fault ICD-10 List.The valid lists also include the No-Fault Plan Type D exclusion indicators. ICD-9 and ICD-10 Codes for Section 111 ReportingĬlick the links below to download the valid and excluded ICD diagnosis code lists in Excel (.xlsx). The ICD-9 and ICD-10 valid and excluded diagnosis codes for the latest fiscal year are made available to non-group health plan (NGHP) responsible reporting entities (RREs) and agents for Section 111 liability insurance (including self-insurance), no-fault, and workers’ compensation mandatory reporting.
0 kommentar(er)
