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
X223.087.2010AA.N301.070

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.

X222.351.2400.SV101-7.020

X223.424.2400.SV202-7.025

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

Edit Reference	Edit Description	Comprehensive Resolution/Prevention

X222.091.2010AA.N301.070 X222.091.2010AA.N302.060 X223.087.2010AA.N301.070	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.
X222.351.2400.SV101-7.020 X223.424.2400.SV202-7.025	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.