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For dates of service on or after October 1, 2015, Medicare providers are required to report ICD-10 codes on their claims. The ICD-10 codes sets contain more than 155,000 codes and accommodate a host of new diagnoses and procedures. The Centers for Medicare & Medicaid Services (CMS) website provides a dedicated ICD-10 web page offering a variety of resources to assist providers with the ICD-10 implementation.
Helpful resources regarding ICD-10:
CMS ICD-10-CM/PCS Resources
Medicare Learning Network (MLN) Matters Articles
ICD-10-CM/PCS Resources Offered By Other Organizations
Find helpful information on incentive programs using these resources on the CMS website:
Injections & Drugs
Access guidance regarding injections & drugs (including biologicals) through the following links:
Coverage and claim submission:
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The determination as to whether Medicare pays as primary or secondary is based on various laws. For more information about Medicare Secondary Payer (MSP) provisions and billing requirements, refer to the following CMS resources:
Access guidance regarding outpatient therapy services submitted to Medicare Part A on a UB-04 form (including “Part B of A” therapy services) through these CMS resources:
Find more information regarding preventive services through these CMS resources:
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