Use when canceling a claim to repay a payment. Use when canceling a claim for reasons other than the Medicare ID or provider number. Condition code only applicable on a xx8 type of bill.Use when canceling a claim to correct the Medicare ID or provider number. If the provider is only deleting these codes, then the D9 with remarks would be more appropriate.Only use if the provider is changing or adding an ICD-9/ICD-10 code.Use for a second or subsequent interim claim by inpatient PPS hospitals only.Ĭhange in grouper input (ICD-9/ICD-10 Diagnosis codes and ICD-9/ICD-10 Procedure codes) If only removing procedure codes or diagnosis codes, D9 would be more appropriate.Use when there is a change to the revenue codes, HCPCS code, RUG code, or HIPPS code. Use when the original claim shows Medicare on the secondary payer line and now the adjustment claim shows Medicare on the primary payer line. Use D9 when adjusting primary payer to bill for conditional payment.Use used when the original claim shows Medicare on the primary payer line and now the adjustment claim shows Medicare on the secondary payer line. When you are only changing the admit date use condition code D9.Use when the from and thru date of the claim is changed. Use this table to determine which condition code is the most appropriate in coding an adjustment/cancel claim.
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