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From the Reimbursement Team: ICD-10 FAQs

Ronda and DanIn July of 2015 an article was released about allowing physicians a 12-month transition period for ICD-10 that will not be denied due to wrong code as long it’s in the correct category. How does this affect the DMEPOS industry?

According to the DME MAC medical directors, any changes will have to be communicated by CMS to the contractors through formal change requests or technical direction letter process. The DME MACs will publish any information from CMS when it is communicated to them.

Just know anyone under the HIPAA regulations are required to use an ICD-10 code for dates of service on or after Oct. 1, 2015.

The DME MACs released a Dear Physician letter to assist suppliers with getting assistance from the physicians on the proper ICD-10 code.

Check out some common questions and the answers that we have received recently.

CMS did assign an ombudsman for ICD-10 specifically, William Rogers, M.D., and you can click here to email him directly.

You can also check out our website for tons of information and resources at

Ronda Buhrmester
Ph: 888-665-6518
Fx: (855) 252-3821
Dan Fedor
Ph: (570) 499-8459
Fax: (844) 307-5729