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.