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Kareo Help Center

LINE LEVEL PROCEDURE CODE IS MISSING OR INVALID

 

Rejection Message

LINE LEVEL PROCEDURE CODE IS MISSING OR INVALID

Rejection Details

This rejection indicates that one of the Procedure (CPT/HCPCS) codes billed on the claim is not valid for the date of service listed. 

Resolution

  1. Check the date of service.
  2. Check an up to date CPT or HCPCS Code Book (or online code resource) to make sure ALL codes submitted on the claim are valid for the date of service listed.

Once the invalid code has been identified it can be updated or removed from the encounter.

Follow the instructions below to change the procedure code listed on a claim:

  1. Click Encounters > Track Claim Status. The Find Claim window opens.
  2. Look for and double-click on the encounter that needs correcting. The Edit Claim window opens.
  3. Double-click on the Encounter number.  The Edit Encounter window opens.
  4. Click into the Procedure cell and replace the code with a valid code.
  5. Click Save & Rebill.

Then, resubmit all affected claims.

Encounter_Procedure.png

Follow the instructions below if the procedure code needs to be removed from the claim:

  1. Click Encounters > Track Claim Status. The Find Claim window opens.
  2. Look for and double-click on the encounter that needs correcting. The Edit Claim window opens.
  3. Click Action > Void > Apply.
  4. Click Save all the way out.

Then, rebill and resubmit all affected claims.

Claim_Void.png

Tip: Most subscription levels include access to a free code scrubbing tool on the Encounter. Utilizing this feature for all encounters can help prevent code rejections.

Note: Kareo Support cannot provide coding assistance. Please contact your biller/coder with any CPT or ICD code questions.