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Proposed January 2018 Fee Schedules

1915(i) Proposed Schedule
72-Hour Presumptive Eligibility Program for Crisis Stabilization Proposed Schedule

Ambulance Cover Sheet   Ambulance Proposed Schedule
APC Cover Sheet   APC Proposed Schedule
APR-DRG Proposed Schedule
ASC Proposed Schedule
ATP Proposed Schedule
Audiology Cover Sheet   Audiology Proposed Schedule
Chemical Dependency Proposed Schedule
Children's Chiropractic Cover Sheet Children's Chiropractic Proposed Schedule
Children's Mental Health Proposed Schedule
Children's Special Health Services (CSHS) Cover Sheet Children's Special Health Services (CSHS) Proposed Schedule
Community First Choice Services
Dental Hygienist Cover Sheet  Dental  Hygienist Proposed Schedule
Dental Services Cover Sheet  Dental Services Proposed Schedule
Denturist Services Cover Sheet  Denturist Services Proposed Schedule
Dialysis Proposed Schedule
Direct Entry Midwife Services Cover Sheet  Direct Entry Midwife Services Proposed Schedule
Durable Medical Equipment Cover Sheet  Durable Medical Equipment Proposed Schedule
Elderly and Physically Disabled - Big Sky Waiver
FQHC/RHC Proposed Schedule
Hearing Aid Cover Sheet  Hearing Aid Proposed Schedule
HCBS Adults with SDMI Proposed Schedule
Home Health Proposed Schedule
Home Infusion Therapy Cover Sheet  Home Infusion Therapy Proposed Schedule
Hospice - Compliant
Hospice - Non-Compliant
Independent Diagnostic Testing Facility (IDTF) Cover Sheet  Independent Diagnostic Testing Facility (IDTF) Proposed Schedule
Lab Services Cover Sheet  Lab Services Proposed Schedule
Mid Level Services Cover Sheet     Mid Level Services Proposed Schedule
Medicaid MHSP Adult  Proposed Schedule
Medicaid Mental Health Adult Proposed Schedule
Mobile Imaging Services Cover Sheet  Mobile Imaging Services Proposed Schedule
Nutrition EPSDT Cover Sheet  Nutrition EPSDT Proposed Schedule
Occupational Therapy Cover Sheet   Occupational Therapy   Proposed Schedule
Optician Cover Sheet   Optician Proposed Schedule
Optometric Cover Sheet   Optometric Proposed Schedule
Oral Surgeon Cover Sheet Oral Surgeon Proposed Schedule
Orientation and Mobility Cover Sheet Orientation and Mobility Proposed Schedule
Outpatient Procedure Code Cover Sheet  Outpatient Procedure Code Proposed Schedule
Personal Assistance Services Proposed Schedule
Physical Therapy Cover Sheet Physical Therapy Proposed Schedule
Physician Services Cover Sheet  Physician Services Proposed Schedule
Podiatry Services Cover Sheet  Podiatry Services Proposed Schedule
Private Duty Nursing Cover Sheet  Private Duty Nursing Proposed Schedule
Psychiatrist Services Cover Sheet  Psychiatrist Services Proposed Schedule
Public Health Services Cover Sheet  Public Health Services Proposed Schedule
RBRVS  Proposed Schedule
Speech Therapy Cover Sheet  Speech Therapy  Proposed Schedule
Substance Use Disorder Chemical Dependency Proposed Schedule
Targeted Case Management Services for Behavioral Health Proposed Schedule
Targeted Case Management (TCM) Non-Mental Health Cover Sheet  Targeted Case Management(TCM) Non-Mental Health Proposed Schedule

 

Live Accordion

The ICD-10 Rule

ICD-10 Final Rule Published in the Federal Register

Published in the Federal Register Vol.  79,  No.  149 / Monday,  August  4,  2014 / Rules  and  Regulations  Page 45128

From the link: "This final rule implements section 212 of the Protecting Access to Medicare Act of 2014 by changing the compliance date for the international Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) for diagnosis coding, including the Official ICD-10-CM Guidelines for Coding and Reporting, and the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) for inpatient hospital procedure coding, including the Official ICD-10-PCS Guidelines for Coding and Reporting, from October 1, 2014 to October 1, 2015. It also requires the continued use of the International Classification of Diseases, 9th Revision, Clinical Modification, Volumes 1 and 2 (diagnoses), and 3 (procedures) (ICD-9-CM), including the Official ICD-9-CM Guidelines for Coding and Reporting, through September 30, 2015."

Important Information:
Effective October 1, 2015, all providers are required under HIPAA to use and bill ICD-10 format codes. For dates of service on or after October 1, 2015, claims submitted with an ICD-9 code will be denied.   

ICD-10 Resources

Informational Links

Several associations are publishing information on ICD-10 coding. Below are links we believe you will find useful. 

The Department of Public Health and Human Services does not promote any one organization/ association over another.

There are also guides to implementation of ICD-10 coding. The Centers for Medicare and Medicaid Services (CMS) has published information that is helpful to all provider types and payers.  

Additional information about ICD-10 is available on these websites.

 

Provider Notices

ICD-10 Provider Notices

11/01/2016 ICD 10 Updates and Coding Changes Revised 12/07/2016

07/31/2015 ICD-10 Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10)

 

 

ICD-Training

ICD-10 Training

The Department of Public Health and Human Services does not promote any one organization/ association over another.

ICD-10 Documentation and Coding Concepts

ICD-10 Readiness Courses

ICD-10: A Quick Course for Non-Coders
Presented by author/ICD-10 expert Gail I. Smith, MA, RHIA, CCS-P. Designed for healthcare professionals who are not coders but who will use and depend on the data from the new coding system.

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