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Claim Status Category and Claim Status Codes Update

The Claim Status Codes and Claim Status Category Codes for use by
Medicare contractors with the Health Claim Status Request and Response ASC X12N 276/277, Health Care
Claim Acknowledgement ASC X12N 277 were updated during the October 2010 meeting of that Maintenance
Committee. At that time, The Committee also decided to allow the industry 6 months for implementation of
newly added or changed codes. Contractors are to use codes posted at www.wpc-edi.com/codes on or about
November 1, 2010, which are listed as current codes on that site. This Recurring Update Notification (RUN)
can be found in chapter 31, section 20.7.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: September 17, 2010

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.