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Elizabeth M. Whitehorn, Director

Provider Notice issued 07/27/15

Chapter L-200, Handbook for Providers of Laboratory Services Requirement for Billing International Classification of Diseases (ICD)-10-CM Diagnosis Codes Effective October 1, 2015

To:​ Enrolled Independent Laboratories and Portable X-Ray Providers ​
Date:​ ​July 27, 2015
​Re: Chapter L-200, Handbook for Providers of Laboratory Services Requirement for Billing International Classification of Diseases (ICD)-10-CM Diagnosis Codes Effective October 1, 2015​

 

This bulletin revises HFS billing instructions to require an ICD-10-CM primary diagnosis code on claims billed on the HFS 2211 paper claim form.

Effective with dates of service on and after October 1, 2015, all providers utilizing the HFS 2211 claim form will be required to complete Item 24 with a valid ICD-10-CM diagnosis code.

The HFS 2211 claim form has been revised to accommodate expanded ICD-10 diagnosis coding. Dates of service on or after October 1, 2015 must be billed on the revised form, which has a revision date of R-2-15 in the bottom left corner of the form. These revised forms may be ordered from the Medical Forms Request page of the department’s website.

Appendix L-1 of the Handbook for Providers of Laboratory Services has been updated and is available on the department’s website. Any questions regarding this bulletin should be directed to a medical assistance consultant in the Bureau of Professional and Ancillary Services at 1-877-782-5565.

 

Instructions for updating the Handbook for Providers of Laboratory Services:

Appendix L-1

Remove pages HFS Appendix L-1 (1-6) and insert new pages HFS Appendix L-1 (1-6)