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Claim adjustment reason code

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A claim for Lilly Jones, an 8-year-old that had a recent tonsillectomy and adenoidectomy on 9/21/YYYY, was billed for the following on September 25, YYYY Lilly Jones 803 Main Street Pewaukee, WI 53072 DOB: 6/13/1951 CPT Code: 42820 Why did this claim fail the OCE prebilling edits? If the claim had been submitted what would claim adjustment reason code (CARC) be? What steps will correct the claim?

Reference no: EM133374844

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