Reason Code 31346

Description
Applicable for type of bills: 12x, 13x, 22x, 23x, 34x, 74x, 75x, 83x or 85x. If value code 50 is present, occurrence code 35 must also be present; or occurrence code 35 is present, value code 50 must also be present.

Resolution
This reason code indicates that you have entered a value code without a corresponding occurrence code or vice versa. Verify billing and if appropriate, correct.

  • When billing revenue code 42x, the occurrence code 35 (date treatment began), occurrence code 11 (onset of illness/injury) and the value code 50 (cumulative number of visits) must appear on the claim
  • Value code 50 is entered as a dollar amount, i.e., 10 visits would appear as 10.00

Resource
CMS Internet Only Manual (IOM), Publication 100-4,
chapter 4 (PDF, 1.26 MB).