Accident Date is required when the diagnosis code is between 800 – 999, or the diagnosis code is V015 or 53511.

Rejection Details

This rejection indicates that the payer requires an accident date (Qualifier 439) and related cause for at least one of the diagnosis codes included on the claim. If there is a code between 800.00 – 999.99, V01.5, or 535.11, an injury or accident date are required for this payer.

Resolution

If there are any diagnosis codes used between 800.00 – 999.99, V01.5, or 535.11 then accident date must be used.

Kindly use the following workflow:

• Patient > Clinical > Case Review
• Click on Add > Select “Accident” as the Type
• Scroll down to Accident Details
• Select “AA. Auto Accident” as Condition Related to
• Enter the Accident Date & Accident State and Save the case
• Go back to the charge screen of the appointment date
• Click on the double-arrows pointing downwards next to Insurance section
• Select the Case from the Appointment section and save the charge