ICD-10 codes in EZClaim
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Note: EZClaim cannot answer questions about the use of ICD-10 codes.
Please contact your payer for any questions related to the use of ICD-10 codes.
The ICD indicator is utilized by payers to determine whether the diagnosis codes should be considered ICD-9 or ICD-10 codes.
CMS Web Site on ICD-10: http://www.cms.gov/icd10
Note: ICD-9 and ICD-10 codes cannot be combined on a single claim.
Claim ICD Indicator
Within the Misc Information section of the Claim Screen grid, you will find the ICD indicator field.
This field provides two options for selection: ICD-9 and ICD-10.
Initial Value
The ICD Indicator will be automatically set to the value chosen in the Program Setup.
For instructions on how to change this value, please refer to the Program Setup article.
Code Library
There are two code libraries available for diagnosis codes. Use Diagnosis Codes for ICD-9 and Diagnosis Codes for ICD-10. See Code Library for information on the code libraries.
Diagnosis Code Library Lookup
When using the code library to look up a diagnosis code, a filter option is available. To look up a diagnosis code, double-click in the diagnosis field.
Paper Claims
The ICD Indicator is printed in Box 21 on the CMS-1500 form. The valid values are ‘9’ for ICD-9 or ‘0’ for ICD-10.
Electronic Claims
The ICD Indicator will affect the Code List Qualifier Code used in HI segments in Loop 2300. When ICD-10 is the indicator value, the qualifiers are prefixed with an ‘A’.
ICD-9 example: HI*BK:11111*BF:22222
ICD-10 example: HK*ABK:33333*ABF:44444