CMS’ ICD-10 1-Year “Grace Period” for No Reimbursement Denials Due to ICD-10 Billing Errors, Has no Grace


According to billing and coding specialist Harry Goldsmith, DPM, “You will be held to billing your ICD-10 codes to the greatest specificity.  If you happen to screw up an “A” for a “d”, or a “right” from a “left”, you MAY still get your claim processed even thought the specificity is incorrect (because a code of the highest level of specificity required is still considered a “valid” code if it is in the “family of codes” – a CMS term.  Or, you may get denied.  CPMA Members please log in for CMS' clarification and important questions and answers.