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Special Education Listserv

Subject: ICD-10 Transition for MO HealthNet Billing

Source: Special Education Finance

Intended Audience: Special Education Directors, Superintendents, Financial Administrators 

Date: February 3, 2014

The U.S. Department of Health and Human Services (HHS) has set forth new requirements regarding the code sets used for describing diagnosed conditions.  Effective October 1, 2014, the International Classification for Disease Ninth Edition (ICD-9) will be replaced with a Tenth Edition, known as ICD-10.  All school districts billing for direct services (speech therapy, occupational therapy, physical therapy, audiology, nursing service, personal care, etc.) through MO HealthNet will have to update the diagnosis of each student from ICD-9 to ICD-10 for services on or after October 1, 2014.  Please view the ICD-10 introduction document at: http://www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD10_Introduction_060413%5b1%5d.pdf

More information about ICD-10 and the transition process may be found on the MO HealthNet website at: http://dss.mo.gov/mhd/providers/pages/hot-tips-2014.htm#l40127.  To look up ICD-10 codes or to try to crosswalk from ICD-9, visit http://www.icd10data.com/.   MO HealthNet will conduct claims processing testing using ICD-10 coding directly with school districts and billing agents.  Please contact the Wipro Infocrossing help desk at 573-635-3559 or ICD10support@momed.com for further information about testing.  It is strongly recommended school districts participate in testing to assure a successful transition to ICD-10.  

The MO State Medical Association (MSMA) and the Kansas Medical Society will be hosting an ICD-10 educational series by conference call.  No registration is required for these free sessions which will be from 12:00 p.m. to 1:00 p.m. on February 27, 2014; March 6, 2014; and, March 13, 2014.  These calls will focus on what needs to be done in the months leading up to October 1, 2014, when use of ICD-10 is mandated.  While the calls are directed towards the medical field, school districts can benefit from the plans being discussed.  For more information and handouts used during the call, please visit the MSMA website at: http://www.msma.org/mx/hm.asp?id=home