Reason Code 7MOLD - JE Part A

Reason Code Narrative

Claim is missing required Z-Code for the test billed

Common Reason Code Errors

A registered MolDX Z-Code was not submitted for the MolDX code.

A MolDX lab HCPC was submitted with an incompatible DEX Z-Code.

Common Reason Code Corrections

• Verify correct HCPC and DEX Z-Code combination are billed
• In "Remarks"
  • Enter claim line number of test performed
  • Enter registered test DEX Z-Code
    • Example: Line 2 - ZB123
• DDE/Electronic submitters can enter DEX Z-Code on Service Line Description (SV-202-7 of the 837I)

Resource

• Palmetto GBA MolDx

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