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Printed Date: 9/22/2015
On an inpatient or SNF claim, the covered day count is equal to zero, but covered charges are greater than zero.
Explanation and Suggestion
Reason Code 31090 indicates that on an inpatient or Skilled Nursing Facility claim, the covered day count = zero, but total covered charges are greater than zero. Providers should be aware as to when to use occurrence span code (OSC) M1 versus OSC 77.
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Last Updated: 02/15/2018