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Printed Date: 9/22/2015
Principal diagnosis code (required) and/or admitting diagnosis code (if present): must be three to seven positions left justified with no decimal points. Note: TOB 41x and 43x are not required to submit diagnosis codes on the claim and are excluded from reason code logic. Reason code updated to edit the patient reason for visit (PRV) fields.
Please verify that the principal and admitting diagnosis codes have been listed correctly and do not contain decimal points. Make the appropriate corrections and resubmit the claim.
CMS Internet Only Manual (IOM), Publication 100-4, Medicare Claims Processing Manual.
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Last Updated: 12/16/2019