Description:
Errors in this edit are generated when all below conditions are met:
- Encounter type is inpatient or unknown, and
- Icd10Code.IsUnacceptablePrincipalDiagnosis = True, and
- The The principal ICD-10-CM code is a Principal Diagnosisunacceptable.
The Unacceptable Principle Diagnosis is generated as a warning and not an error since it is a Medicare Code edit to show that the given code cannot be used as Principle Diagnosis for an inpatient claim. Refer to /wiki/spaces/FRG/pages/1833762851 for more details.
Edit ID: 10010
Error type: WARNING
Error message example 1:
This example is provided for the following scenario:
- Principal ICD-10-CM code = H40.1233.
- Encounter type is inpatient.
| Warning |
|---|
Principal diagnosis code H40.1233 cannot be used as Principal Diagnosis for Inpatient Admission as per Medicare Code Edits. DESCRIPTION Principal diagnosis code H40.1233 = Low-tension glaucoma, bilateral, severe stage |
Error message example 2:
This example is provided for the following scenario:
- Principal ICD-10-CM code = H40.1233.
- Encounter type is unknown.
...