FY 2022 ICD-10 Changes Effective October 1, 2021

The fiscal year (FY) 2022 ICD-10-CM codes are to be used for patient encounters occurring from October 1, 2021 through September 30, 2022 as well as for discharges occurring from October 1, 2021 through September 30, 2022. ICD-10-CM codes are used by physical therapists, occupational therapists and speech-language pathologists not only to report the physicians’ medical diagnosis(es) for therapy services, but where allowed, a therapy and/or treatment diagnosis(es) of why a patient requires outpatient physical, occupational and/or speech therapy services. Changes occuring on October 1, 2021 include ICD-10-CM codes that are used by all 3 disciplines (physical therapy, occupational therapy … Read More

UHC Community Plan Reimbursement Policy Updates

UnitedHealthcare Community Plan has published a new reimbursement policy regarding ICD-10 diagnosis coding on a UB-04 claim form. The states that are impacted by this new policy include the following: Arizona California Florida Hawaii Maryland Michigan Mississippi Missouri Nebraska New Jersey New York Ohio Pennsylvania Texas Virginia Washington Wisconsin The effective date is June 1, 2021 for all of the above states except for New York and Texas. The effective date for New York and Texas is July 1, 2021. This new policy will deny claims where an inappropriate diagnosis is in Box 67 on a UB-04 claim form or … Read More