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Printed Date: 9/22/2015
When you make an adjustment or cancel a previously processed claim, you are required to include a condition code on your claim that explains the reason for the change. Only one claim change condition code may be reported on the claim. Providers should assure they select the one that best describes the claim change even if more than one change was made to the claim. Providers are also reminded not to select D9 unless no other code applies as it will cause the claim to suspend for manual review.
Claim Change Reasons:
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Last Updated: 01/12/2018