Knowledgebase: Claim Rejections
Diagnosis code __ not valid for patient age.
Posted by Will Morrow, Last modified by Charmagne Williams on 22 May 2017 11:54 AM
Rejection: Diagnosis code specified not valid for patient age.

What happened: Diagnosis code in box 21 is not valid for the patient date of birth in box 3.

Resolution: Verify specified diagnosis code in box 21 and update the claim as necessary.  If you do not already know how to use the code search, please click HERE if you use Practice Mate or HERE if you use Office Ally's Online Entry.