How many diagnosis codes can be submitted per claim in an 837 format?
In the Implementation Guide for the 837 Dental Claim, the Dental Service (SV3) segment contains four procedure code modifiers. All of the modifiers are marked “Situational.” Where can I find a list of these modifiers, and when would they be used? There are no modifiers for the dental procedure codes. The designated code set for dental procedure codes is the “Code on Dental Procedures and Nomenclature,” which is published as the Current Dental Terminology (CDT). The CDT does not contain procedure code modifiers. Therefore, the modifiers should not be used. Top I am looking in the ASC 837 Institutional Implementation Guide but I cannot find the HCP (claim pricing/re-pricing information) segment on the service line level. As a re-pricer, I would like to return the detail line re-priced amount and reason code to the submitter. How do I do this? As part of the change request process for the HIPAA Implementation Guides a request was received to add re-pricing information to the 837 Instituti
