Providers submitting claims via Internet Professional Claim Submission (IPCS) will be required to identify the ICD code set version of the diagnosis code submitted. Until ICD-10 implementation, the value selected should be ICD-9. A new field, labeled, “ICD-CM Type”, has been added to the “Overall Claim Information Section” screen that is located under the “Claim Info” tab. Providers should select “ICD-9” in the ICD-CM Type field when the claim contains an ICD-9 diagnosis code(s). Providers should select “NONE” (default value) in the “ICD-CM Type” field to submit claims without a diagnosis. These instructions are effective as of September 22, 2014, when the IPCS changes will be made available.
The compliance date for use of ICD-10-CM/PCS is October 1, 2015.
The IPCS User Guide has been updated to reflect the changes mentioned above and is accessible on the User Guides page of the Medi-Cal website.