ICD-10 Transition Grid
Authorizations
Type of Authorization
Prior Authorization
(including Elective Inpatient Admission)
Prior Authorizations for continuous
treatments
(i.e. Physical Therapy, Radiation Therapy,
Chemotherapy, Home Health, etc)
Concurrent Inpatient Admission
Service Begins
Service Ends
Before 10/1/2015
Before 10/1/2015
Pre-Authorization Diagnosis
Code Requirement
ICD-9
On or after 10/1/2015
On or after 10/1/2015
ICD-10
Before 10/1/2015
On or after 10/1/2015
ICD-9
On or after 10/1/2015
On or after 10/1/2015
ICD-10
Before 10/1/2015
after 10/1/2015
ICD-9
On or after 10/1/2015
On or after 10/1/2015
ICD-10
ICD-10 Transition Grid
Claims
Service Begins (From Date)
Claim Code Requirement
Before 10/1/2015
Service Ends (To/Through
Date)
Before 10/1/2015
Before 10/1/2015
On or after 10/1/2015
ICD-10
ICD-9