Loop ID Reference Name Codes Notes/Comments Category 2400 DTP Begin Therapy Date Must not be present. 6 – Segment Submission of this Rule segment for Part B will cause your claim to reject. 2400 DTP03 DATE - LAST Must not be a future date. 4 CERTIFICATION DATE 2400 DTP03 Last Certification Date Must not be a future date. 6 2400 DTP03 Last Seen Date Must not be a future date. 6 2400 DTP03 Test Performed Date Must not be a future date. 6 2400 DTP03 X-ray date Must not be a future date. 6 2400 QTY02 Initial Treatment Date Must be between 1 and 99. 6 Submission of a value less than 1 or greater than 99 will cause your claim to reject. 2400 QTY02 Ambulance Patient Count Must be between 1 and 99. 2 Submission of a value less than 1 or greater than 99 will cause your claim to reject. 2400 MEA03 Obstetric Additional Units Must be one to two 2 positions and can contain one decimal place. Submission of a value greater than 99.9 will cause your claim to reject. 2400 CN1 Test Result Must not be present. 2 – Segment Submission of this Rule segment for Part B will cause your claim to reject.
Loop ID Reference Name Codes Notes/Comments Category 2400 DTP – Segment Rule Begin Therapy Date Must not be present. Submission of this segment for Part B will cause your claim to reject. 6 2400 DTP03 DATE - LAST CERTIFICATION DATE Must not be a future date. 4 2400 DTP03 Last Certification Date Must not be a future date. 6 2400 DTP03 Last Seen Date Must not be a future date. 6 2400 DTP03 Test Performed Date Must not be a future date. 6 2400 DTP03 X-ray date Must not be a future date. 6 2400 QTY02 Initial Treatment Date Must be between 1 and 99. Submission of a value less than 1 or greater than 99 will cause your claim to reject. 6 2400 QTY02 Ambulance Patient Count Must be between 1 and 99. Submission of a value less than 1 or greater than 99 will cause your claim to reject. 2 2400 MEA03 Obstetric Additional Units Must be one to two positions and can contain one decimal place. Submission of a value greater than 99.9 will cause your claim to reject. 2 2400 CN1 – Segment Rule Test Result Must not be present. Submission of this segment for Part B will cause your claim to reject. 2
5010A1837BCG.docx