Steps to Populate the 2400 SV101-7 Element for NOC Procedure

[jupdegraff]

NOC (Not Otherwise Classified) procedure codes need to have the 2400 SV101-7 element populated to get the claims accepted at many carriers. Below are instructions of how to populate that element for Medisoft.

1. In transaction entry, if the end-user does not have NDC drug information on the service line or on the procedure code, RM will always pull the description directly off the procedure code itself and write it to 2400 SV101-7. This handles all payers and clearinghouses who want to see the procedure description for all non-drug related procedure codes.

2. In transaction entry, if the end-user does have NDC drug information on the service line or on the procedure code, RM will never pull any description for the procedure code and will leave 2400 SV101-7 empty. This handles all payers and clearinghouses who do not want to see the procedure description for all drug related procedure codes.

3. In transaction entry, if the end-user does have NDC drug information on the service line or on the procedure code, but are getting the PSV10100:SL PROC DESCRIPTION REQUIRED rejection because RM is not pulling any description for the procedure code, they need to highlight the service line, click the Note button, select EDI: Unclassified procedure description from the drop-down list, and enter a custom description for the procedure/service. RM will always pull a custom description from the Note button regardless of whether they have NDC drug information present or not. This handles all payers and clearinghouses who want to see the procedure description for all unclassified or other procedure codes, even if drug information might be present.

We have tested the above information on the 5010 iGuides, both the standard and generic and it does populate the loop. Please remember to update your Revenue Management to the latest update.