Reason Code 31755

Description
Please verify your claim meets the following criteria: 

• Revenue code 0023 must be present 
• The claim's “From” date, “Admit” date, and earliest 0023 line date must all be equal 
• On a final, the 0023 service date must equal a visit service date or the 0023 span 

Reason Code 31755 will assign correctly when:

• Revenue code 0023 is missing.
• For initial periods of care (admission claims), the “Admission” date, “From” date, 0023 revenue code's “Service” date and the first visit (earliest GXXXX code) date reported on the claim do not all match
• For subsequent periods, the 0023 revenue code date does not match the date of the first visit (earliest GXXXX code) reported on the claim, regardless of whether the visit was covered or non-covered

Resolution
Review the claim and:

• Ensure revenue code 0023 is present
• For initial periods of care (admission claims), ensure the “Admission” date, “From” date, 0023 revenue code's “Service” date and the first visit (earliest GXXXX code) date reported on the claim all match 
• For subsequent periods, ensure the 0023 revenue code date matches the first visit (earliest GXXXX code) reported on the claim, regardless of whether the visit was covered or non-covered

Please make the appropriate correction(s) and return the claim for processing.

More information on this topic is available in the Medicare Claims Processing Manual Medicare Claims Processing Manual (Publication 100-4, Chapter 10 (PDF) Section 40.2, HH PPS Claims, Service Dates).