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IPCS Updates

September 19, 2014

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.