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Printed Date: 9/22/2015
The value code must be blank or 01 through 99, A0 through Z9, or aa through ZZ. If the value code is equal to one of the following then the value amount must be greater than zero: A1 through A3, A8, A9, B1 through B3, C1 through C3, D3, D4, FC, 00, 01, 04 through 06, 08 through 11, 17 through 24, 30, 31, 37 through 40, 44, 46, 48 through 54, 56 through 60, 68, 70 through 79. If the value code 08, 10, or 11 is present the statement year cannot be 1989.
Verify the value codes and amounts billed on the claim and correct and resubmit.
CMS Internet Only Manual (IOM), Publication 100-4, Medicare Claims Processing Manual.
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Last Updated: 12/16/2019