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K Posted Wed 06th of December, 2017 11:57:08 AM
HELLO, WE JUST RECEIVED A DENIAL FROM BLUE CROSS THAT SAID: WE ARE UNABLE TO PROCESS THE CLAIM: 203 DIAGNOSIS CODES MUST BE ENTERED IN ALPHABETICAL ORDER A-L 019 INVALID DIAGNOSIS CODE POINTER HAVE YOU HEARD ANYTHING ABOUT THIS TYPE OF AN ISSUE? THANK YOU!
SuperCoder Answered Thu 07th of December, 2017 02:32:12 AM

Hi,

There seems to be an error in the way claim has been billed. 

Denial 203 means diagnosis codes must be entered in alphabetical order a-l

Denial 019 means invalid diagnosis code pointer

Please ensure:

  • Diagnosis codes billed are not listed more than once on a service line. There should not be duplicate diagnosis codes as well billed on a single claim.
  • Diagnosis pointers have been correctly applied. 1 pointer for First (Primary) diagnosis code, 2 pointer for 2nd (secondary) diagnosis code, 3rd pointer for (Tertiary) 3rd diagnosis code and so on.
  • There is not an empty diagnosis cell preceding Diagnosis 2, Diagnosis 3, or Diagnosis 4 on a service line
  • Appropriate valid complete ICD 10 CM codes have been entered as diagnosis codes

Once, this all gets verified and corrected if needed, your claim will get paid.

Hope, the provided information would be helpful.

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