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Common Electronic Data Interchange (CEDI) Change to Acceptable Diagnosis Code Pointers The ASC X12N 837 version 4010A1 claim format allows a maximum of eight diagnosis codes to be reported for each claim in accordance with standards established by the Health Insurance Portability and Accountability Act (HIPAA). Currently, eight diagnosis codes can be submitted on a durable medical equipment (DME) claim; however, only diagnosis code pointers 1 – 4 are accepted by the CEDI front end edits. On Sunday October 4, 2009, during the CEDI maintenance window, CEDI edit A531 will be modified to allow diagnosis code pointers 1–8. For further information, please contact the CEDI Help Desk at ngs.cedihelpdesk@wellpoint.com or at 866-311-9184. |
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