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Rejected at Clearinghouse Diagnosis Code Pointer (X) is Missing or Invalid. Must Point to a Valid Diagnosis Code

Rejection Message Rejection Details Resolution

Rejected at Clearinghouse Diagnosis Code Pointer (X) is Missing or Invalid. Must Point to a Valid Diagnosis Code

This rejection indicates one of the following issues with the encounter:

  • A diagnosis code is listed more than once on a service line 
  • There is an empty diagnosis cell preceding Diag 2, Diag 3, or Diag 4 on a service line

Follow the instructions below to edit the diagnosis codes listed on an encounter

To delete a duplicate diagnosis code:

  1. Click Encounters > Track Claim Status.
  2. Look for and double-click on the encounter that needs correcting.
  3. On the Edit Claim window, double-click on the Encounter number.
  4. Double-click into the appropriate Diag cell and click the "Delete" key on your keyboard

​To update the order of diagnosis codes:

  1. Click Encounters > Track Claim Status.
  2. Look for and double-click on the encounter that needs correcting.
  3. On the Edit Claim window, double-click on the Encounter number.
  4. Click on the empty Diag cell and enter the diagnosis code entered in the following column
  5. Double-click into the following Diag cell and click the "Delete" key on your keyboard to remove the duplicate

Repeat as necessary until the empty Diag cell is furthest to the right

Click Save and Rebill.

Then, resubmit all affected claims.