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Edit 00226
Procedure Indicates Sterilization / Sterilization Code not Present
HIPAA Claim Adjustment Reason Code:16
Remark Code: N180
HIPAA Healthcare Claim Status Code: 490
Entity Identifier Code: N/A
Potential Causes:
The indicator for a Sterilization Procedure is blank or invalid.
Solution:
Verify that the indicator is 2 alphanumeric characters and resubmit using the loop and segment provided.
| 837 Professional |
Loop 2300, NTE (Claim Note)
NTE01 = ADD (to indicate additional information)
NTE02 = AI (Sterilization) |
| 837 Institutional |
Loop 2300, HI (Condition Information)
HI01-1 = BG (Condition)
HI01-2 = A1 (Sterilization) |
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