How should an MAO submit a linked chart review delete record that has an E code requiring deletion, where the E code is in the primary diagnosis position?


As noted in the Encounter Data Submission and Processing Guide, Chapter 2, Section 2.7.2., if an MAO needs to delete an E-code, the MAO has two options: (1) submit a linked CRR-Delete that uses the primary diagnosis code as a code other than the E-code and then lists the E-code, causing both codes to be deleted, then submit a CRR-Add that adds the primary diagnosis code back to the beneficiary’s record, or (2) submit a replacement EDR that excludes the E-code from the list of diagnosis codes. These options can be used in all situations in which certain diagnosis codes cannot be used to populate the primary diagnosis code field.

Last Updated: 12/20/2019