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Last Modified: 10/24/2011
Location: FL, PR, USVI
Business: Part A
32402
A Healthcare Common Procedure Coding System (HCPCS) code reported on this claim is not valid for a revenue code reported.
-or-
HCPCS code is not valid for the date on which the services were provided.
Covered charges for the line item being edited are greater than zero.
HCPCS table file contains at least one revenue code for the HCPCS being edited.
• Note: if no revenue codes are present on the HCPCS table, then all revenue codes are assumed to be allowable for the HCPCS.
Note: for an 18x type of bill (TOB) with a "Y" in the 'PPS' indicator (hospital swing-bed prospective payment system (PPS) skilled nursing facility (SNF) claims), the HCPCS file must have 0022 as an allowable revenue code and the 0022 covered charges must not be greater than zero.
If the revenue code on the line item being edited does not match one of the allowable revenue codes for the HCPCS, the error is assigned.
Resources/tips to avoid or correct this return to provider (RTP) code
Verify the revenue and healthcare common procedure coding system (HCPCS) codes submitted on your claim.
, choose option -1 (inquiries)• Use option -13 (revenue codes) to verify if a HCPCS code is required.
• Use option -14 (HCPC inquiry) to verify HCPCS information. Key in the HCPCS and locality codes and press enter. The HCPCS inquiry screen lists allowable revenue codes.
• If the revenue code does not appear on the list, you cannot submit the code on the claim.
• Note: if no revenue codes are present on the HCPCS table, then all revenue codes are assumed to be allowable for the HCPCS.
• If you do not use DDE, you can review the Centers for Medicare & Medicaid Services (CMS), Internet-only manual (IOM), publication 100-04, chapter 25-Completing and processing the form CMS-1450 data set 
.
.• You can also review the current HCPCS Level II coding manual (e.g., Ingenix).
Correct the claim and resubmit.
Please use your browser's back button to return to the referring page.Source: FCSO Education Action Team
