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Reason Code: W7113

Error Description:

The principal diagnosis code reported is considered supplementary or an additional code that cannot be used as the principal diagnosis code. The unacceptable principal diagnosis list is defined by the MCE I/OCE but there are some exclusions to the MCE list due to current OPPS coding requirements and guidelines. A supplementary or additional diagnosis code is not allowed as a principle diagnosis code.

Avoiding/Correcting This Error

Prevent future similar errors by checking the I/OCE and ICD-10-CM official guidelines prior to claim submission.

Verify the diagnosis codes reported; if appropriate, correct and resubmit.

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