Recurring services (alternatively known as Therapeutic Referred Ambulatory or TRA) are generally defined as outpatient settings in which a patient is repeatedly treated over multiple visits/encounters with a set of prescribed services to address a previously diagnosed condition.  Recurring services may include but are not necessarily limited to:

• Physical, Occupational, and Speech Therapy
• Chemotherapy and other therapeutic infusion services
• Radiation Therapy
• Behavioral health and psychotherapy services

Because these encounters may likel be associated with a plan of care that crosses the September/October time frame, it is essential that proper registration procedures are followed to support ICD-10 coding and billing for recurring service encounters after October 1, 2015.  This may include creating new visit records or even entirely new registrations in the Hospital’s registration and billing system.  Operating areas may additionally be required to work with providers to convert ICD-9 diagnosis codes and re-write orders and plans of care.

For more information about registering recurring services and ensuring your ICD-10 readiness, read the full guidance document here.