Loop ID Reference Name Codes Notes/Comments Category 2400 CR106 Patient Weight The maximum number of 2 characters to be submitted in the patient weight field is four characters to the left of the decimal and two characters to the right. Patient weight in excess of 9,999.99 pounds will be rejected. 2400 CR3 Transport Distance The maximum number of 2 – Segment characters to be submitted Rule in the transport distance is four characters. Transport distance in excess of 9,999 miles will be rejected. 2400 CRC DURABLE MEDICAL Must not be present. 4 – Segment EQUIPMENT CERTIFICATION Submission of this Rule segment for Part B will cause your claim to reject. 2400 DTP03 CONDITION INDICATOR/ Must not be a future date. 4 DURABLE MEDICAL EQUIPMENT 2400 DTP03 DATE - SERVICE DATE Must not be a future date. 6 2400 DTP DATE - PRESCRIPTION DATE Must not be present. 6 – Segment Submission of this Rule segment for Part B will cause your claim to reject. 2400 DTP03 DATE - CERTIFICATION Must not be a future date. 4 REVISION/RECERTIFICATION DATE 2400 DTP Certification Revision Must not be present. 6 – Segment Recertification Date Submission of this Rule segment for Part B will cause your claim to reject. 2400 DTP03 DATE BEGIN THERAPY Must not be a future date. 4 – DATE
Loop ID Reference Name Codes Notes/Comments Category 2400 CR106 Patient Weight The maximum number of characters to be submitted in the patient weight field is four characters to the left of the decimal and two characters to the right. Patient weight in excess of 9,999.99 pounds will be rejected. 2 2400 CR3 – Segment Rule Transport Distance The maximum number of characters to be submitted in the transport distance is four characters. Transport distance in excess of 9,999 miles will be rejected. 2 2400 CRC – Segment Rule DURABLE MEDICAL EQUIPMENT CERTIFICATION Must not be present. Submission of this segment for Part B will cause your claim to reject. 4 2400 DTP03 CONDITION INDICATOR/ DURABLE MEDICAL EQUIPMENT Must not be a future date. 4 2400 DTP03 DATE - SERVICE DATE Must not be a future date. 6 2400 DTP – Segment Rule DATE - PRESCRIPTION DATE Must not be present. Submission of this segment for Part B will cause your claim to reject. 6 2400 DTP03 DATE - CERTIFICATION REVISION/RECERTIFICATION DATE Must not be a future date. 4 2400 DTP – Segment Rule Certification Revision Recertification Date Must not be present. Submission of this segment for Part B will cause your claim to reject. 6 2400 DTP03 DATE – BEGIN THERAPY DATE Must not be a future date. 4
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