Code | Display | Definition | version introduced |
1 |
Invalid diagnosis code |
Invalid diagnosis code |
2.4 |
10 |
Non-covered service submitted for verification of denial (condition code 21 from header information on claim) |
Non-covered service submitted for verification of denial (condition code 21 from header information on claim) |
2.4 |
11 |
Non-covered service submitted for FI review (condition code 20 from header information on claim) |
Non-covered service submitted for FI review (condition code 20 from header information on claim) |
2.4 |
12 |
Questionable covered service |
Questionable covered service |
2.4 |
13 |
Additional payment for service not provided by Medicare |
Additional payment for service not provided by Medicare |
2.4 |
14 |
Code indicates a site of service not included in OPPS |
Code indicates a site of service not included in OPPS |
2.4 |
15 |
Service unit out of range for procedure |
Service unit out of range for procedure |
2.4 |
16 |
Multiple bilateral procedures without modifier 50 (see Appendix A) |
Multiple bilateral procedures without modifier 50 (see Appendix A) |
2.4 |
17 |
Multiple bilateral procedures with modifier 50 (see Appendix A) |
Multiple bilateral procedures with modifier 50 (see Appendix A) |
2.4 |
18 |
Inpatient procedure |
Inpatient procedure |
2.4 |
19 |
Mutually exclusive procedure that is not allowed even if appropriate modifier present |
Mutually exclusive procedure that is not allowed even if appropriate modifier present |
2.4 |
2 |
Diagnosis and age conflict |
Diagnosis and age conflict |
2.4 |
20 |
Component of a comprehensive procedure that is not allowed even if appropriate modifier present |
Component of a comprehensive procedure that is not allowed even if appropriate modifier present |
2.4 |
21 |
Medical visit on same day as a type "T" or "S" procedure without modifier 25 (see Appendix B) |
Medical visit on same day as a type "T" or "S" procedure without modifier 25 (see Appendix B) |
2.4 |
22 |
Invalid modifier |
Invalid modifier |
2.4 |
23 |
Invalid date |
Invalid date |
2.4 |
24 |
Date out of OCE range |
Date out of OCE range |
2.4 |
25 |
Invalid age |
Invalid age |
2.4 |
26 |
Invalid sex |
Invalid sex |
2.4 |
27 |
Only incidental services reported |
Only incidental services reported |
2.4 |
28 |
Code not recognized by Medicare; alternate code for same service available |
Code not recognized by Medicare; alternate code for same service available |
2.4 |
29 |
Partial hospitalization service for non-mental health diagnosis |
Partial hospitalization service for non-mental health diagnosis |
2.4 |
3 |
Diagnosis and sex conflict |
Diagnosis and sex conflict |
2.4 |
30 |
Insufficient services on day of partial hospitalization |
Insufficient services on day of partial hospitalization |
2.4 |
31 |
Partial hospitalization on same day as ECT or type "T" procedure |
Partial hospitalization on same day as ECT or type "T" procedure |
2.4 |
32 |
Partial hospitalization claim spans 3 or less days with in-sufficient services, or ECT or significant procedure on at least one of the days |
Partial hospitalization claim spans 3 or less days with in-sufficient services, or ECT or significant procedure on at least one of the days |
2.4 |
33 |
Partial hospitalization claim spans more than 3 days with insufficient number of days having mental health services |
Partial hospitalization claim spans more than 3 days with insufficient number of days having mental health services |
2.4 |
34 |
Partial hospitalization claim spans more than 3 days with insufficient number of days meeting partial hospitalization criteria |
Partial hospitalization claim spans more than 3 days with insufficient number of days meeting partial hospitalization criteria |
2.4 |
35 |
Only activity therapy and/or occupational therapy services provided |
Only activity therapy and/or occupational therapy services provided |
2.4 |
36 |
Extensive mental health services provided on day of ECT or significant procedure |
Extensive mental health services provided on day of ECT or significant procedure |
2.4 |
37 |
Terminated bilateral procedure or terminated procedure with units greater than one |
Terminated bilateral procedure or terminated procedure with units greater than one |
2.4 |
38 |
Inconsistency between implanted device and implantation procedure |
Inconsistency between implanted device and implantation procedure |
2.4 |
39 |
Mutually exclusive procedure that would be allowed if appropriate modifier were present |
Mutually exclusive procedure that would be allowed if appropriate modifier were present |
2.4 |
4 |
Medicare secondary payer alert |
Medicare secondary payer alert |
2.4 |
40 |
Component of a comprehensive procedure that would be allowed if appropriate modifier were present |
Component of a comprehensive procedure that would be allowed if appropriate modifier were present |
2.4 |
41 |
Invalid revenue code |
Invalid revenue code |
2.4 |
42 |
Multiple medical visits on same day with same revenue code without condition code G0 (see Appendix B) |
Multiple medical visits on same day with same revenue code without condition code G0 (see Appendix B) |
2.4 |
5 |
E-code as reason for visit |
E-code as reason for visit |
2.4 |
6 |
Invalid procedure code |
Invalid procedure code |
2.4 |
7 |
Procedure and age conflict |
Procedure and age conflict |
2.4 |
8 |
Procedure and sex conflict |
Procedure and sex conflict |
2.4 |
9 |
Nov-covered service |
Nov-covered service |
2.4 |