Bringing Service into Perspective

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