ICD-10 Updates from Medicaid – CCHAP Practice Manager Newsletter

“ICD-10 Updates from Medicaid: External end-to-end testing has confirmed that Medicaid's systems are integrated, operable, and ready to accept the new ICD-10 codes and formats on October 1, 2015. Effective October 1, 2015, ICD-10 is now active and replacing ICD-9 diagnosis codes. Providers should note the ICD-10 implementation is Date of Service (DOS) specific:

• ICD-9 diagnosis and surgical procedure codes will be required on claims that contain DOS or dates of discharge (DOD) on or before September 30, 2015.
• ICD-10 diagnosis and surgical procedure codes are required on claims that contain DOS or DOD on or after October 1, 2015.

Claims submitted with both ICD-9 and ICD-10 codes will be rejected.
Medicaid billing manuals have been updated ICD-10 codes. Click here to access the manuals.
Appendix R – Provider Claim Report Denial/Error Codes Update for ICD-10. Click here to find this document under "Appendices"

Please contact the Department’s fiscal agent, Xerox State Healthcare at 800-237-0757 with billing questions. Please contact Sean Gagnon at Sean.Gagnon@state.co.us or 303-866-3467, or Shawna Tye at Shawna.Tye@state.co.us or 303-866-2347 with questions regarding the ICD-10 implementation project.

Check out the Colorado Children’s Healthcare Access Program’s full Practice Manager Newsletter for more information on:

• Preventative Screening Table – Update for ICD-10
• Young Minds Matter: Supporting Children's Mental Health Through Policy Change
• Tobacco Cessation Resource Group
• Reminder - Colorado PAR Program - New Vendor
• Medicaid Provider Relations Team
• Medicaid Provider Billing Workshops” [Source: CCHAP]