|Rejection Message||Rejection Details||Resolution|
THE DIAGNOSIS CODE (_____) AND MODIFIER (__) COMBINATION ARE INAPPROPRIATE
This rejection indicates that (per the payer) one of the diagnosis codes submitted on the claim should not be paired with a particular modifier.
The rejection message itself will specify the pairing that is incorrect.
Please verify that the procedure modifiers included on the claim are valid for the service date per payer billing guidelines.
Tip: Most Kareo PM 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.
Follow the instructions below to edit the diagnoses or modifiers included on an encounter:
Then, resubmit all affected claims.