Companion Benefit Alternatives

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We know effective treatment and timely payments are important to you. The resources on these pages are here to help you manage your clients and your business. If you can't find what you are looking for, please contact CBA Provider Services at cba.provrep@companiongroup.com or 800-868-1032.


International Classification of Diseases and Related Health Problems-10 (ICD-10) Codes Are Required For Behavioral Health Providers

ICD codes have always been a requirement for filing claims for all providers, including behavioral health providers.

The implementation date for ICD-10 codes is October 1, 2015. All providers must submit an appropriate ICD-10 code to ensure proper claims processing and payment. Failure to use ICD-10 codes for dates of service after October 1, 2015, will result in non-payment.

You can continue to use the Diagnostic and Statistical Manual of Mental Disorders (DSM) code for clinical documentation.

Differences Between ICD-9 and ICD-10

The ICD-10 code sets have fundamental changes in structure and concepts that make them very different from ICD-9. There is a new arrangement of categories and alpha-numeric formats.

Currently, for behavioral health diagnoses, the ICD-9 and DSM codes are a virtual match. Therefore, in most cases, a DSM code would be acceptable since it would be the same as an ICD-9 code. For example, the code for a single episode of major depressive disorder is 296.2 in both the DSM-4 and ICD-9-clinical modification (CM). The code is F32 in ICD-10.

There are approximately 68,000 ICD-10 codes. Keep in mind that your practice will use a minimal number of codes.

To prepare for ICD-10, Companion Benefit Alternatives (CBA) encourages you to:
  • Purchase applicable resource materials from the American Medical Association and American Psychiatric Association, such as the DSM-5 manual, which includes the ICD-10 code for each DSM code. 
  • Contact all providers, payers, software vendors, clearinghouses and other billing services to ensure they are on track to be compliant by the October 1 implementation date.
  • Ask your service vendors if they have been involved in testing so they can detect any issues prior to the transition.

    Please note: covered entities should not use the new codes prior to October 1, 2015.

    For more information, please contact your provider contract specialist at 800-868-1032, ext. 25538 or ext. 25731. We appreciate your continued service to our members.

    If you have questions or concerns, please email us at cba.provrep@companiongroup.com.