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OA Rejections

Diagnosis code __ not effective for this DOS

Rejection

Diagnosis code (number/letter will be specified) not effective for this DOS (FE137)

What happened

Diagnosis code is not valid for the date of service.

Resolution

Verify the date of service and confirm the diagnosis code was valid during that time period. If not, update the claim with a diagnosis code that was effective on the service date, then resubmit.