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Last Modified: 8/6/2010
Location: FL, PR, USVI
Business: Part A
34924
Type of bill (TOB) 14x claims may only be submitted with revenue codes 030X and/or 031X for dates of service October 1, 2004 and after. This reason code will not assign for adjustments of TOB 14x claims with receipt date prior to April 1, 2006, dates of service October 1, 2004 and after, and revenue codes other than 030X and 031X.
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This reason code will also not assign if the type of bill is 14x, the revenue code is 0401 or 0403 and the dates of service are on or after 10/01/04 and prior to 04/01/05.
Resources/tips to avoid or correct this return to provider (RTP) claim
This reason code will occur when a TOB 14x claim is received without revenue code 030X or 031X. The implementation of change request (CR) 3835 in 2006 made this mandatory. This RTP often occurs due to a clerical error:
1. Please verify the TOB and revenue code submitted properly reflect the medical record:
• TOB 14x -- Non-patient laboratory specimens
• Revenue code 030X -- Laboratory
• Revenue code 030X -- Laboratory pathological
2. Research to determine if revenue codes other than 030X or 031X were submitted.
• TOB 14x may only be billed with revenue codes 030X and/or 031X.
3. Correct the claim
, make the correction and PF9 the claim.• Correct the electronic claim and resubmit.
References:
• See also the Medicare Learning Network (MLN) matters article for CR 3835 (MM3835 
) for more information.
) for more information.
Please use your browser's back button to return to the referring page.Source: FCSO Education Action Team
