Reason Code C7251 - JE Part A

Reason Code Narrative

FOR AN OUTPATIENT CLAIM, THE DETAIL LINE ITEM DATE OF SERVICE IS WITHIN THE ADMISSION AND DISCHARGE DATE OF A SNF INPATIENT PART A CLAIM (21X) FOR THERAPY SERVICES.

Common Reason Code Errors

An outpatient claim (12X, 13X, 214X, 23X, 34X, 74X, 75X, 83X, or 85X) is submitted with a therapy HCPCS code and the dates of service are within the service dates of a SNF inpatient Part A Claim (21X) or a SNF inpatient Part B claim (22X).

Common Reason Code Corrections

Correct and resubmit if appropriate

Resources

• CMS SNF Consolidated Billing