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Edit 00736
Diagnosis Code Blank A Full ICD-9 CM Code Required
HIPAA Claim Adjustment Reason Code: 16
Remark Code: MA63
HIPAA Healthcare Claim Status Code: 255
Entity Identifier Code: N/A
Potential Causes:
The claim requires a Diagnosis Code and it was not entered.
Solution:
Enter a Diagnosis Code. Check to ensure a Diagnosis Pointer was used. Enter the data in the loop and the segments provided, and resubmit.
| 837 Professional |
Loop 2300 HI (Health Care Diagnosis Code)
HI01-1 = BK (Principal Diagnosis)
HI01-2 = Principal Diagnosis
And
Loop 2400 SV1 (Professional Service)
SV107 -1 = Primary Diagnosis Code Pointer |
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