![]() ![]() CPT/Level I HCPCS codes are five position numeric codes. There are three categories of HCPCS codes. CPT codes, also called Level I HCPCS codes, are used to bill physician services and they are copyrighted by the American Medical Association (AMA). ICD-10 codes for Fiscal Year 2014 through the current fiscal year are available for download on the CMS website.įor information related to managing the transition when conducting analyses, please see the document "Managing the Transition from ICD-9 to ICD-10" in the Attachments section below.įor some types of care, procedures are billed using CPT (Current Procedural Terminology) /HCPCS (Healthcare Common Procedure Coding System) codes, rather than ICD. The claims files include fields that indicate whether the listed ICD code is ICD-9 or ICD-10. On October 1, 2015, CMS transitioned from ICD-9 to ICD-10. This list contains less detail than a purchased version. Fiscal Year 2006-2015 ICD-9 code lists are available for download on the CMS website. ICD-9 (International Classification of Diseases, 9th edition) codes were used through September 30, 2015. In general, when they are not the basis for payment, the fields will be present, but empty. However, ICD procedure codes are not the basis for payment for all of these types of care. ICD procedure code fields are present in the institutional claim-level and stay-level files: MedPAR, Inpatient, SNF, and Outpatient. ![]() In addition, the non-institutional claims include an ICD diagnosis code on each line item being billed. The first code listed is considered the primary diagnosis code. Non-institutional providers are permitted 12 diagnosis codes where previously only 8 were allowed. Starting in 2011, institutional providers are able to enter up to 25 diagnosis codes for a single claim where previously only 10 were allowed. ICD diagnosis codes are present in all Medicare claim-level and stay-level files: Inpatient, Outpatient, Carrier, Skilled Nursing Facility, Hospice, Home Health, Durable Medical Equipment, and MedPAR. ![]()
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