Knowledgebase: Claim Rejections
Medicare (ALL) - Acute Manifestation Date
Posted by Will Morrow, Last modified by Charmagne Williams on 23 May 2017 03:38 PM
Rejection: Acute Manifestation Date Required when CPT code is 98940, 98941, 98942, 98943 and CR2-08 (HCFA Box 10d) is "A" or "M" (RC183)

What happened: Box 10d (Additional Fields) was sent with the letter 'A' or 'M' but the Acute Manifestation Date was not sent.

Resolution: If the claim is sent in the ANSI format, need to send the date from the software.  If you are unsure how to do this, contact your software vendor.

If the claim is sent in any other way (print image, Online Claim Entry/Practice Mate), please fill out the 'Acute Manifestation Date' field in the Additional Fields section under box 25 (see attached picture below).

 acute manifestation date.jpg (67.26 KB)