30720

FISS Narrative
The Treatment Authorization Code is not valid or not present, and condition code 21 is not present.    

Explanation and Suggestion
For episodes prior to January 1, 2008, this reason code was assigned for home health type of bills 3x2 or 3x9. The treatment authorization code is not present or is not valid. The valid format for home health type of bills is 18 numerics.

For episodes after that time this reason code is assigned for home health type of bills 3x2, 3x9, 3x7 or 3x (alpha) for adjustments.

The treatment authorization code is valid if in the following format:

  • Position 1 and 2 = numeric
  • Position 3 and 4 = alpha
  • Position 5 and 6 = numeric
  • Position 7 and 8 = alpha
  • Position 9 = numeric
  • Position 10 = 1 or 2
  • Positions 11 through 18 = alpha

Contact Palmetto GBA JM Part HHH Medicare

Email HHH

Contact a specific JM HHH department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

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