Reason Code: W7113
Error Description:
The principal diagnosis code reported is considered supplementary or an additional code and cannot be used as the principal diagnoses. A supplementary or additional diagnosis code is not allowed as a principle diagnosis code.
Avoiding/Correcting This Error
Prevent future similar errors by checking the I/OCE and ICD-10 official guidelines prior to claim submission.
Verify the diagnosis codes reported; correct and resubmit.
Related Content
- The I/OCE Quarterly Release Files include information on diagnosis codes, including unacceptable principle diagnosis codes
- I/OCE related Change Requests include updates to the codes allowed/not allowed as a principle diagnosis code. Example: Change Request 11944, October 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.3, effective 10/1/2020, includes a list of unacceptable principle diagnosis additions.
- The annual “ICD-10-CM Official Guidelines for Coding and Reporting” include guidelines on the selection of a principal diagnosis code.
- For FY 2022 refer to FY 2022 ICD-10-CM Coding Guidelines - Updated 02/01/2022
- For FY 2022 refer to FY 2022 ICD-10-CM Coding Guidelines - Updated 02/01/2022