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Edit / Error Knowledge Base > Select Edit Range > 00901 to 01000 >

 

 

Edit 00917

Oral Cavity Code Invalid

HIPAA Claim Adjustment Reason Code: 16
    Remark Code: N37
HIPAA Healthcare Claim Status Code: 242
    Entity Identifier Code: N/A

Potential Causes:
The Tooth/Quad/Arch information Code is missing.

Solution:
Some Dental Procedure Codes require the entry of Tooth/Quad/Arch information. Refer to the Dental fee schedule for which Procedure Codes require this information and enter the required data for those procedures that require the identification of tooth/quad/arch.



837 Dental
Loop 2400, SV3 (Dental Service)
SV304 -1 = Oral Cavity Designation Code
And
Loop 2400, TOO (Tooth Information)
TOO02 = Tooth Number



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