Revised - MMP Edits Update

Please be advised that Institutional Edit X223.424.2400.SV202-7.025 will be re-activated effective February 29, 2016 in addition to the four (4) Common Edit Module (CEM) edits previously announced on January 21, 2016.  The following five (5) CEM edits will be re-activated on February 29, 2016:


Edit Reference 

Edit Description 

Comprehensive Resolution/Prevention 

X222.091.2010AA.N301.070 X222.091.2010AA.N302.060




CSCC A7: "Acknowledgement /

Rejected for Invalid Information…"
CSC 503: "Entity's Street Address"
EIC: 85 Billing Provider




A Post Office Box address cannot be used for the Billing Provider on Professional, DME or Institutional encounters. 






CSCC A8: "Acknowledgement / Rejected for relational field in error"
CSC 306 "Detailed description of service"
2400.SV101-7 must be present when 2400.SV101-2 is present on the table of procedure codes that require a description.




A more descriptive meaning of the procedure code must be present when using a not otherwise classified or generic HCPCS procedure code.




Last Updated: 01/26/2016 09:12:00 AM