A patient who has been on our hospice service came in with this code as their primary dx in April. Claims through Kaiser have always been accepted. When trying to get their October claim filed, however, it was suddenly kicked back to us as an unacceptable primary code.

I have not found anything that would support it’s sudden exemption as it is an HCC and rare so it would not make logical sense that it was suddenly removed from the acceptable list.

Any help would be most appreciated!

Lynn McDougal, CRC