Claim Rejections

Cigna 62308 - HCPCS Procedure Code

Rejection: HCPCS Procedure Code is invalid in Professional Service. Value of sub-element SV101-02 is incorrect. Expected value is from external code list - HCPCS Code (130) when SV101-01='HC'. Segment SV1 is defined in the guideline

What happened: The CPT code indicated in the rejection is incorrect or invalid for the date of service.

Resolution: Verify the CPT code and the date of service on the claim and update the claim as necessary (see attached picture below).

dos and cpt.jpg