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Last Modified: 11/4/2011
Location: FL, PR, USVI
Business: Part A
10417
This is a claim level reject reason code for claims that have all line items rejected by V8022, V8024, U5412, or U5413 from common working file (CWF).
Resources/tips to avoid or correct this reject code
Review the claim and the individual reason codes received on the line items to correct therapy expense and resubmit the claim. The individual reason codes listed for 10417 describe the following:
• V8022 -- outpatient physical therapy expense limit is over applied. Physical therapy expense submitted is greater than the expense to be met.
• V8024 -- occupational therapy expense submitted is greater than the expense to be met.
• U5412 -- physical therapy adjustment is necessary for Medicare secondary payer (MSP) claim.
• U5413 -- occupational therapy adjustment is necessary for MSP claim. This edit will be bypassed for all choices, ESRD managed care demo, and encounter claims.
Please use your browser's back button to return to the referring page.Source: FCSO Education Action Team
