RESOLVED: Reason Code 34931


Reason Code 34931
Current Status Date  
Resolved March 3, 2021 Status: Resolved. A fix has been implemented and all suspended claims have been released to continue processing.
Provider Action:  No action is necessary. There is no need for providers to contact the provider contact center (PCC) regarding this matter
Initial February 18, 2021 Status: CMS is aware of this issue and claims will suspend until a fix is implemented. There is no estimated time frame for a resolution.
Provider Action:  No action is necessary.
Identified January 27, 2021 Issue
The FY 2021 POA Exempt list was updated in the January 2021 Release. However, inpatient claims edited in error when diagnosis codes Z11.52 and Z86.16 are reported on the claim, for discharges occurring on or after 1/1/2021. Diagnosis codes Z11.52 and Z86.16 are the primary code affected, but all claims assigning Reason Code 34931 were suspended until a fix was implemented.


Article Update Notification


Would you like to know when this article is updated? Sign up for Article Update Notifications below and we'll send you an email with the new version automatically.

Please check your spam/junk folder as your notification email maybe delivered there.

Email Address:
Please enter this four-digit number in the CAPTCHA Code field: 7752






Last Updated: 03/03/2021