"ADM","EDIT","VERSION","DISPOSITION_ID_PREVIOUS","DISPOSITION_ID_CURRENT","BUFFER_PREVIOUS","BUFFER_CURRENT","NAME_PREVIOUS","NAME_CURRENT","DESCRIPTION_PREVIOUS","DESCRIPTION_CURRENT"
"A","120","60","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","61","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","62","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","63","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","64","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","65","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","66","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","67","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","68","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","69","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","70","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","71","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","72","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","73","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","74","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","75","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","76","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","77","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","78","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","79","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","80","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","81","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","82","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","83","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","84","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","85","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","86","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","120","87","","3","","Procedure","","Incorrect reporting of modifier PT","","A claim is submitted with only one procedure from the surgical ranges (10000-69999 or 0000T-9999T) with modifier PT. This is edit is returned at the line level."
"A","121","62","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","63","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","64","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","65","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","66","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","67","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","68","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","69","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","70","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","71","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","72","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","73","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","74","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","75","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","76","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","77","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","78","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","79","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","80","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","81","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","82","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","83","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","84","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","85","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","86","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","121","87","","6","","Procedure","","Non-covered service reported with inpatient only procedure where the patient expired or transferred","","Non-covered services, identified with status indicators B, E1, E2, C or M, should not be paid separately when reported on a claim with an inpatient-only procedure and modifier CA."
"A","122","87","","5","","Procedure","","340B-acquired drug modifier(s) reported inappropriately","","Modifier used to report 340B-acquired drugs reported inappropriately. This is an information only edit that sets the Line Item Denial Rejection flag = 3."
