Mental health providers will be impacted by ICD-10

As we’ve been telling you about in previous issues of The Record, providers who submit claims with dates of service beginning Oct. 1, 2014, must use the ICD-10 code set.

Recently, we’ve received questions about how ICD-10 will impact mental health providers. The ICD-10 implementation applies to mental health professionals, even if they currently use the DSM-IV or the updated DSM-5.

For billing purposes, the ICD code sets are the only HIPAA compliant code set for claims and claim submissions. Claims with non-compliant codes will be rejected.

It’s important to note, however, that the DSM-5 lists the ICD-10 codes for each entry in parentheses next to the code description. Health care providers can use these codes for claims with dates of service on or after Oct. 1, 2014.

To learn more about ICD-10, go to cms.gov/icd10*. For more information about the DSM or guidance from the American Psychiatric Association, go to psychiatry.org*. To find out more about BCBSM’s implementation, go to bcbsm.com/icd10.

*Blue Cross Blue Shield of Michigan does not control this website or endorse its general content.