Wiki Clearinghouse limiting # of Diags on a claim! Help

bmcguire

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Hi all, I am running into an issue with a Practice I work with. They are stating that their Clearinghouse is only allowing 4 ICD10 Diagnosis codes to be submitted on a claim, despite them adding the additional diagnosis on the Medicare form appropriately. Now I know that on the electronic Medicare Claim Form there are 12 spaces for diagnosis codes to be reported and that 4 are pointers, and point to the service/CPT, but the other 8 are floaters and should be allowed on the claim.
Has anyone else experienced this? Any solutions for this practice and what they can do? This practice is participating in value based programs and it's incredibly important for them to be able to report more than 4Dx per claim, especially for risk adjustment purposes. Appreciate any help!
 
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