principal diagnosis code is missing or invalid.
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principal diagnosis code is missing or invalid.
1. PRINCIPAL DIAGNOSIS CODE IS MISSING OR INVALID FOR DIAGNOSIS TYPE (ICD-9, ICD-10){Z966441D}
2. SUPPLEMENTAl DIAGNOSIS CODE IS MISSING OR INVALID FOR DIAGNOSIS TYPE GIVEN (ICD-9, ICD-10) {R2689}
The codes were entered correctly in the medisoft V20 ; because I was able to use medicare software to send / transmit similar codes with no problems.
- Gavin Walker
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- Location: Springfield, MO
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Re: principal diagnosis code is missing or invalid.
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386
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Re: principal diagnosis code is missing or invalid.
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- Posts: 12
- Joined: Thu Dec 29, 2011 8:08 pm
Re: principal diagnosis code is missing or invalid.
- Gavin Walker
- Posts: 4626
- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
- Contact:
Re: principal diagnosis code is missing or invalid.
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386
-
- Posts: 12
- Joined: Thu Dec 29, 2011 8:08 pm
Re: principal diagnosis code is missing or invalid.
Thanks again. I had called Emdeon/ capario (the clearinghouse) and I was told that implementation was not properly set up, code list qualifier needs to be changed to icd 10 qualifier. My V20 was purchased from Medtech, I am hoping that I can have it re looked at or be told what needs be done.
I will appreciate your imput.
Thanks.
- Gavin Walker
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- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
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Re: principal diagnosis code is missing or invalid.
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- Joined: Wed Aug 03, 2011 11:46 am
Re: principal diagnosis code is missing or invalid.
"Principal diagnosis code is missing or invalid for diagnosis type given (ICD-9, 1CD-10) or cannot be external cause code"
We are using Medisoft Advanced v20 and using 5010 v19 Standard Revenue Management and had no issues after 10-1-2015.
What we discovered by viewing the EDI data is that the principal diagnosis (which was an ICD-10 diagnosis code) was not being label "ABK" but "BK" signifying that was a an ICD-9 diagnosis code.
How the hell did that happen when it's set up as an ICD-10 code in the diagnosis list and we configured only ICD-10 codes to be used the default code set in "Program Options"?
Answer? We added a new insurance company recently and despite the program option setting, ICD-9 format was being sent out in the EDI data for the diagnosis. It appears to be a glitch in v20.
Solution? You have to manually go into Lists>Insurance> Carriers > Options and Codes > and make sure you manually confirm ICD-10 is selected from the drop down as it defaults to ICD-9.
- Gavin Walker
- Posts: 4626
- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
- Contact:
Re: principal diagnosis code is missing or invalid.
- Gavin Walker
- Posts: 4626
- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
- Contact:
Re: principal diagnosis code is missing or invalid.
-
- Posts: 49
- Joined: Wed Aug 03, 2011 11:46 am
Re: principal diagnosis code is missing or invalid.
- Gavin Walker
- Posts: 4626
- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
- Contact: