Mar 06

SchuyLab is ICD-10 Compliant!

ICD-10 codes delayed.

On Tuesday, April 1, 2014, the “Protecting Access to Medicare Act of 2014,” HR 4302, law was signed which creates a one-year patch for the Sustainable Growth Rate (SGR) Medicare physician payment formula, to April 2015. Among many other provisions in the 45-page bill is a delay in the conversion to ICD-10 by one year, to October 2015.

Schuylab is ready for ICD-10 codes.  While ICD-10 is new to the USA, it is almost universally in use outside of America.  Schuyler House has had many international laboratories for more than a decade, and these laboratories have needed to bill using ICD-10.  SchuyLab’s integrated billing module has therefore had to use ICD-10 codes for a number of years, so it is not only compliant with ICD-10 but is well field tested!

SchuyLab’s most recent release (version 3.1) allows the user to switch their SchuyLab system from using ICD-9 codes to using ICD-10 codes by changing a single setting on the SOP icon.  As of our current understanding of CMS regulations, a laboratory may not switch to using ICD-10 before the designated CMS date.  This means that any claims submitted with ICD-10 codes with a Date of Service that is before 1 Oct 2015 will be rejected by CMS.  Once the CMS designated date is reached, all lab work with a DOS after that date will be required to use ICD-10 codes (but lab work performed with a DOS prior to 1 October, 2015 but billed or re-billed after that date is still required to be submitted with ICD-9 codes.)  There is no way for Schuyler House to currently know if this regulation (published by CMS for the 2014 ICD-10 changeover) will still be applied to the conversion to ICD-10 on its 1 October 2015 date.

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