Please Note: There is no Medicare information on our corporate website. Please select a specific contract in the 'Search Within' box for Medicare related information.
© 2021 Palmetto GBA, LLC
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Published Date:12/16/2019
Printed Date: 9/22/2015
URL: http://palmgba.com/marlowe/redesign6/article.html
Description TOB of 12x, 13x, 22x, 23x, 34x, 74x or 75x with revenue code 043x without an occurrence code 17 or claim billed with occurrence code 17 without revenue code 043x.
Resolution This claim contains Revenue Code 043x (occupational therapy) but there is no occurrence code 17 (date outpatient OT plan established or last reviewed).
There is an occurrence code 17 but no Revenue Code 043x on the claim. Add occurrence code 17 or Revenue Code 043x or remove them as necessary to correct claim. Please correct and resubmit.
Resource CMS Internet Only Manual (IOM), Publication 100-4, chapter 4 (PDF, 1.26 MB).
We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.
It didn't answer my question This article was helpful
We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.
We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.
Last Updated: 12/16/2019