Edit 00135

Provider Specialty Invalid for Procedure

HIPAA Claim Adjustment Reason Code: 8
     Remark Code: N/A
HIPAA Healthcare Claim Status Code: 454
     Entity Identifier Code: N/A

Potential Causes:
The Specialty Code derived by the system is not a valid specialty for the Procedure Code on the claim.

Solution:
Check the Procedure Code entered to ensure the correct Procedure Code was used. Please note, only those Procedure Codes in the Medicaid fee schedule can be used on a Medicaid claim. Ensure you are using the correct fee schedules for the type of claim submitted.
If you need a fee schedule contact Provider Services.