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Edit 00604
Admitting Diagnosis Code is missing
HIPAA Claim Adjustment Reason Code: 16
Remark Code: MA65
HIPAA Healthcare Claim Status Code: 232
Entity Identifier Code: N/A
Potential Causes:
The Inpatient claim was submitted without an Admitting Diagnosis Code.
Solution:
Include the Admitting Diagnosis Code on the claim. Enter the data in the loop and the segment provided, and resubmit
| 837 Institutional |
Loop 2300 HI (Principal, Admitting, E-Code and Patient Reason For Visit Diagnosis Information)
HI01-1 = BK (Principal Diagnosis)
HI01-2 = ICD-9-CM or 7999 |
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