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Claim Status Category Code and Claim Status Code Update

The Claim Status Codes and Claim Status Category Codes for use by Medicare contractors with the Health Claim Status Request and Response ASC X12N 276/277 were updated during the January 2009 meeting of that Maintenance Committee. At that time, The Committee also decided to allow the industry 6 months for implementation of newly added or changed codes. Contractors are to use codes posted at http://www.wpc-edi.com/codes on March 1, 2009 which are listed as current codes on that site.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: June 19, 2009

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.