Issue with MCE Edit 3224 Fixed
MCE Edit 3224 (Procedure Code Inconsistent with Length of Stay) should post on DRG claims with a procedure code 9672 (CONTINUOUS INVASIVE MECHANICAL VENTILATION FOR 96 CONSECUTIVE HOURS OR MORE) with a length of service less than 4 days.
However, since December 7, 2013, the edit has been posting on ALL inpatient DRG claims with a date of service on or after October 1, 2013 submitted with procedure code 9672 . The EOB which appears on the RA reads "EOB 9243 - DRG - PRINCIPAL PROCEDURE CODE IS INVALID OR REQUIRES FURTHER SUBDIVISION. CORRECT AND RESUBMIT CLAIM."
This issue has been corrected and inpatient DRG claims submitted from this point forward should process correctly. However, providers will need to resubmit previously denied claims.