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Frequently Asked Questions (FAQs) for ICD-10

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Q.

How should a DRG Inpatient claim be coded if the admission is prior to October 1, 2015, but the patient is discharged on or after October 1, 2015?

 

 

Category: Billing

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Published: 10/16/2013

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Updated: 4/15/2014

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QID: ICD11

 
 

A.

DRG Inpatient claims which are rate codes 2946/2953 and GME 3130, should be coded according to the discharge date. If the discharge date is on or after October 1, 2015, the diagnosis and procedure codes must be ICD-10, regardless of the date of admission.

 
 

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