ICD 10 codes is a coding system developed by the World Health Organisation (WHO), that translates the written description of medical and health information into standard codes, i.e. it essentially describes the diagnosis in code form.
All healthcare providers are required, by law, to indicate ICD-10 codes on their claims and next to each medication item on a prescription.
Even if you submit a claim after having paid for the services upfront, a valid applicable ICD-10 code should be indicated on the claim.
If items on a prescription are used for the treatment of more than one condition, the correct and applicable ICD-10 code should be indicated next to each medication item and not only once on the prescription.
You should, therefore, confirm with your healthcare provider that he or she has indicated the correct ICD-10 codes on all prescriptions and claims.
Check your claims statements regularly to ensure that claims have been paid correctly.
A claim where the ICD-10 codes are missing or the incorrect ICD-10 codes have been indicated, will be rejected and a revised claim reflecting the correct ICD-10 codes will have to be submitted for payment.