Kalix is ready for the ICD-10 CM transition on October 1 2015

Our update to support this change went up on September 28 2015. For a full description of changes to Kalix please click here.

For those who are time poor, here is a summary of things you need to know.

Kalix & ICD-10

  • Kalix uses ICD CM diagnosis codes in two main locations: Referrals and Billing. Both these areas will be updated to support the new code set.

  • When entering new referrals into Kalix, you will have the option of choosing between using ICD-10 CM or ICD-9 CM.

  • You may wish update your clients' existing referrals from ICD-9 to ICD-10 codes. All new bills created using (or linked to) the updated referral, will contain ICD-10.

  • If your bill is linked to a referral, Kalix will copy across the diagnosis codes as they are entered into the linked referral e.g. if the linked referral contains ICD-9 codes, ICD-9 diagnosis will be automatically copied into the bill.

  • Kalix will not automatically update ICD-9 codes to ICD-10 codes for you. However, Kalix will warn you if the bill's diagnosis codes need to be updated from ICD-9 to ICD-10.

  • There are many resources out there for ICD-9 to ICD-10 conversion mapping, we like http://www.icd10codesearch.com/

  • Bills without linked referrals will automatically support ICD-10 if the billing date and the date of service is on or after October 1.

  • Office Ally is also ICD-10 ready. Office Ally will accept Kalix's claims as per usual.

  • To test that Kalix's ICD-10 codes are transferred over to Office Ally correctly and are validated properly, you may wish to send a test claim file (created in Kalix) to Office Ally first. Click here for instructions on how to do this.

What you need to know about ICD-10 & Billing

  • If a bill is generated on or after October 1 2015 and the service date (date of service, or date the service was rendered) is on or after October 1 2015, it must contain ICD-10 diagnosis codes only.

  • If a bill is generated on or after October 1 2015 and the service date (date of service) is before October 1 2015, it must use ICD-9 diagnosis codes only.

  • An individual claim can contain either the ICD-9 or the ICD-10 code set. It cannot contain a mixture of both ICD-9 and ICD-10 diagnosis.

  • If you are billing for a series of services conducted over a period of time starting before October 1, and ending on or after October 1, you must complete at least two separate CMS 1500 forms: one for services rendered before October 1 (using ICD-9) and a separate claim for services conducted on and after October 1 (using ICD-10).

  • The change to ICD-10 does not affect CPT coding for services or procedures (the billing item).

  • A batch file can contain a mixture of claims using ICD-9 and claims using ICD-10.

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