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Back  RFI # 1441: 278 date for ICD-9/ICD-10

Formal vs. Informal Help Informal Formal

Submitter

Julia Dunicheva

Description

It is clear what dates should be used for ICD-9/ICD-10 codes validation in claim transaction:
- professional: "from" service date
- institutional outpatient: "from" service date
- institutional inpatient: "thru" service/discharge date

What dates should be used for respective services in 278 transaction:
1) 2000E\UM01 = AR: 2000E\DTP Discharge date when present, or otherwise 2000E\DTP Admission date "from"
2) 2000E\UM01 is not AR: 2000E\DTP Event Date "from"
Are these the correct dates to use?

Response

If the Admission, Patient Event and/or Service dates start before 10/1/2013, then ICD9 should be utilized. If any of these dates start on, or after 10/1/2013, then ICD10 should be utilized.
Submission 10/25/2011
Status Date 1/19/2012
Status F - Final
Primary References
Document 005010X217
Section2.4
Set ID278
Loop2000E
Segment IDHI
Secondary References
RFI ID 1893
Document 005010X217
Section2.4
Set ID278
Loop2000F
Segment IDSV2