Reason Code 31593

Description
There is at least one of the following value codes present on the claim with an incorrect amount in the cents area to the right of the decimal point.

Resolution
Correct and resubmit, as appropriate:

1. The following list of value codes must have zeros following the decimal point:

#45 — accident hour
#46 — grace days
#50 — physical therapy visits
#51 — occupational therapy visits
#52 — speech therapy visits
#53 — cardiac rehabilitation visits
#67 — intermittent peritoneal dialysis (IPD) hours
#68 — number of units of EPO provided during the billing period

2. The following list of value codes must have a zero in the far-right position:

#48 — hemoglobin reading
#49 — hematocrit reading

3. For dates of service 10/01/00 and after the following value codes must have zeros following the decimal point:

#62 — Part A visits
#63 — Part B visits

4. The following value code must have zeros following the decimal point and must have a value greater than 1.00:

#32 — multiple patient ambulance transport

Resource
Internet-Only Manuals (IOMs).

Contact Palmetto GBA JM Part A Medicare


Provider Contact Center: 855-696-0705

Email Part A

Contact a specific JM Part A department

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

Anonymous

 

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