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Type 5 editing based on date of service for medical code sets
Currently type 5 editing is based on processing. Medical codes are based on the date of service and not processing date. We are requesting an enhancement for at least all of the 837 transactions to include the PACDR to edit medical codes sets (ICD, HCPCS, CPT, CDT, NDC, etc) using the data of service instead of processing date.
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How will this idea be used?
It will be used in compliance validation when preforming type 5 code set editing.
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