Invalid Diagnosis Code Editing - Second Phase
This instruction adds effective and end-date-range logic editing for carriers and DMERCs. This instruction adds additional logic to verify by date of service, the effective and end- date-range on all service lines. The shared system will compare the submitted diagnosis codes against the effective and end dates of the submitted diagnosis codes whether pointed to or not. Claims that contain invalid diagnosis codes shall be rejected.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 22, 2004
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