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Effective October 1, 2015 what version claim form do we use for claim submission? Do we need to submit with ICD-10 codes? I recently received a call from a local pharmacy stating we need to submit ICD-10 codes on the prescription as well. Please advise at the soonest. Thank you!

Effective October 1, 2015 what version claim form do we use for claim submission? Do we need to submit with ICD-10 codes? I recently received a call from a local pharmacy stating we need to submit ICD-10 codes on the prescription as well. Please advise at the soonest. Thank you!

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Asked on October 5, 2015

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You should be using the ADA2012 claim form.

Yes, you will need to append ICD-10-CM codes to each and every claim.

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Answered on October 5, 2015