Industry Compliance Timeline

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