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?

Answer:

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.