RelayHealth Notify: Claims: CPIDs 7476, 7477, 7475 and 7478 DME All Jurisdictions: Claim Rejections

DME All Jurisdictions

 

 Action Required:  Please be aware of the following announcement from all DME Jurisdictions regarding possible claim rejections.

Edit C172 Issue on Claims with KE Modifier

 

An issue existed where edit C172 was being received in error on some service lines containing modifier KE for dates of service on or after January 1, 2009. This issue has been resolved and claims with the KE modifier should no longer receive this edit in error when submitted to CEDI.

This fix only affects claims submitted with the KE modifier for dates of service on or after January 1, 2009. If you feel you received this edit in error for claims previously submitted with the KE modifier, those claims may now be resubmitted to CEDI.

 

If you continue to receive CEDI edit C172, please contact the appropriate DME MAC to determine if you are submitting the correct HCPCS and/or modifiers.