Helper ICD-10 "N5010-DIAGNOSIS-CODE Error" Claim Rejection FAQ
How do I know if this issue is impacting me?
You will have received the following claim rejection reason/error:
N5010-DIAGNOSIS-CODE - Services preceding the payer transition to ICD 10
must be sent in ICD 9. After the transition date they must be ICD 10. - Based on
Service Date Diagnosis Code Qualifier should be (ABK OR ABF)
N5010-DIAGNOSIS - N5010-DIAGNOSIS- Diagnosis code invalid for service
year - Diagnosis Code: F4312 invalid for ICD9_2015
Cause:
Helper’s ClaimsConnect settings are set to “use the 4010 version of the ANSI 837”. As 4010 is
not ICD-10 compliant, the settings need to be modified accordingly.
Resolution:
Modify settings to “use the 5010 version of the ANSI 837” (see the following pages)
Rev 10/2/2015
Identification and Resolution:
The following will outline the location where the 4010 setting is present, and how to modify that
setting accordingly:
1. Click the Billing Icon on the Helper home screen:
2. Click on “Submit Claims Electronically”:
Rev 10/2/2015
3. Select/click on the “Other” tab:
Rev 10/2/2015
4. The screen that follows will look like this:
a. The cause of the error is likely that the second option is selected (or the third option
plus an additional setting.)
b. To be able to submit ICD-10 coded claims successfully, select the first option “Use
the 5010 version of the ANSI 837 for all claims” and hit close:
Rev 10/2/2015