Alert 10004 (CPT Age Edits)
Description:
Errors in this edit may be generated only if patient age is known and patient age is not matching the CPT Age Edit.
Edit ID:Â 10004
Error type:Â ERROR
Error message example 1:
This example is provided for the following scenario:
- CPT code = 39503.
- Patient Age = 1 year.
CPT code 39503 may not be used for patient with age = 1 year.
DESCRIPTION
CPT code 39503 = Repair, Neonatal Diaphragmatic Hernia, With Or Without Chest Tube Insertion And With Or Without Creation Of Ventral Hernia
Error message example 2:
This example is provided for the following scenarios:
- CPT code = 77076.
- Patient Age = 3 years.
CPT code 77076 may not be used for patient with age = 3 years.
DESCRIPTION
CPT code 77076 = Radiologic Examination, Osseous Survey, Infant
Error message example 3:
This example is provided for the following scenarios:
- CPT code = 59140.
- Patient Age = 5 years.
CPT code 59140 may not be used for patient with age = 5 years.
DESCRIPTION
CPT code 59140 = Surgical Treatment Of Ectopic Pregnancy; Cervical, With Evacuation
Error message example 4:
This example is provided for the following scenarios:
- CPT code = 99385.
- Patient Age = 45 years.
CPT code 99385 may not be used for patient with age = 45 years.
DESCRIPTION
CPT code 99385 = Initial Comprehensive Preventive Medicine Evaluation And Management Of An Individual Including An Age And Gender Appropriate History, Examination, Counseling/Anticipatory Guidance/Risk Factor Reduction Interventions, And The Ordering Of Laboratory/Diagnostic Procedures, New Patient; 18-39 Years
Owner object:Â Activity
Owner object property name:Â Code
Owner object property value:Â Value of Activity.Code
Reference object:Â Claim
Reference object property name:Â ID
Reference object property value:Â Value of Claim.ID