ICD-10 Special Instructions for Home Health Episodes

The Centers for Medicare and Medicaid Services (CMS) posted special instructions for ICD-10 coding on home health episodes that span Oct. 1, 2014. CMS outlines three key factors that affect how ICD-10-CM must be used on these episodes for services that span Oct. 1, 2014:

1. The claim "from" date (episode start date);
2. The OASIS assessment completion date (OASIS item M0090 date); and
3. The claim "through" date.

CMS provides a scenario for episodes starting before Oct. 1, 2014 with OASIS completion dates before Oct. 1, 2014 and another scenario with episodes starting before Oct. 1, 2014 with OASIS completion dates in October 2014.

Contact: Cheryl Udell, cudell@leadingageny.org, 518-867-8871