ICD-10 Acknowledgement Testing Week: March 2-6, 2015

On October 1, 2015, the ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets. To help you prepare for this transition, CMS announces a national testing week for current direct submitters (providers and clearinghouses) from March 2-6, 2015.

This testing week will give trading partners access to the Medicare Administrative Contractor’s (MACs) and Common Electronic Data Interchange (CEDI) for testing with real-time help desk support. The event will be conducted virtually.

What you can expect during testing:

• Test claims with ICD-10 codes must be submitted with current dates of service (i.e. March 2, 2015 through March 6, 2015), since testing does not support future dated claims.
• Test claims will be subject to all existing EDI front-end edits including Submitter authentication and NPI validation.
• Test claims will receive the 277CA or 999 acknowledgement as appropriate, to confirm that the claim was accepted or rejected in the system.
• Testing will not confirm claim payment or produce remittance advice.

Important tips for sending a test file:

• The ISA15 must equal “T”.
• The file must contain 25 claims.
• The file should contain a variety of the types of claims submitted on a normal basis.
• The qualifiers for ICD.10 should be reported as ABK or ABF in the 2300 HI segment.

EDI Services
1-877-235-8073 (JL)
1-855-252-8782 (JH)
www.novitas-solutions.com