Everyone affected by the Version 5010 and ICD-10 transitions – health care providers, payers, software vendors, and clearinghouses/third-party billers – needs to prepare to meet the following timetable to ensure compliance. Lytec 2011 will be ANSI 5010 compliant.
Date | Compliance Step |
January 1, 2010 | Payers and providers should begin internal testing of Version 5010 standards for electronic claims |
December 31, 2010 | Internal testing of Version 5010 must be complete to achieve Level I Version 5010 compliance |
January 1, 2011 | • Payers and providers should begin external testing of Version 5010 for electronic claims • CMS begins accepting Version 5010 claims • Version 4010 claims continue to be accepted |
December 31, 2011 | External testing of Version 5010 for electronic claims must be complete to achieve Level II Version 5010 compliance |
January 1, 2012 | • All electronic claims must use Version 5010 • Version 4010 claims are no longer accepted |
October 1, 2013 | • Claims for services provided on or after this date must use ICD-10 codes for medical diagnosis and inpatient procedures • CPT codes will continue to be used for outpatient services |