Use of ICD Procedure Codes Restricted for UB-04 Billers Beginning January 1, 2013

Use of ICD procedure codes restricted for UB-04 billers beginning January 1, 2013

Previous Indiana Health Coverage Programs (IHCP) banner page BR201249, dated December 4, 2012, indicated that beginning January 1, 2013, the IHCP will deny claims that contain International Classification of Diseases (ICD) procedure codes on institutional claims other than inpatient and inpatient crossover claims. Providers that submit institutional claims, other than inpatient and inpatient crossover claims, with dates of service on or after January 1, 2013, that are billed with ICD procedure codes will not deny, but will post explanation of benefits (EOB) message 4072 − ICD procedure code not allowed for claim type billed. Providers that submit institutional claims, other than inpatient and inpatient crossover claims, with dates of service on or after January 1, 2013, should not use ICD procedure codes.