Successful Billing Strategies
ICD-10 Billing Policies
Beginning October 1, 2015, HNS will begin processing claims with valid ICD-10 codes. Both electronic and paper claims submitted to HNS that are inconsistent with these guidelines will be returned for correction and resubmission.
ICD-9 Codes:
Claims submitted with dates of service prior to October 1, 2015 will be accepted only with ICD-9 codes.
Claims with ICD-10 Codes:
Claims submitted with dates of service on or after October 1, 2015 will be accepted ONLY with ICD-10 codes.
Code Structure:
A code will be invalid if it has not been coded to the full number of characters required (including placeholders).
Mixed-coded Claims:
Claims with ICD-9 and ICD-10 codes on the same claim will not be accepted.
Claims that Cross the Compliance Date:
ICD-10 is date driven and claims must be split so that all ICD-9 codes with dates of service through September 30, 2015 are on one claim and all ICD-10 codes with dates of service on or after October 1, 2015 are on a separate claim.