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 firstname.lastname@example.org or 800-868-1032.
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.
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.
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 email@example.com.