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public:gorev:cas:7 [2017/11/01 16:36] (current)
bgriffin created
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 +===== CAS Code 7 Procedure invalid for patient'​s gender =====
 +
 +This cas code indicates the procedure code used is not appropriate for the sex of the patient on the claim. ​  Most of the time your clearinghouse will catch this BEFORE the claim goes out.  But if you unfortunately do not use one that has these types of edits (you should move to [[http://​www.zirmed.com|Zirmed]]) you will need to address denials by re-coding the claim with the appropriate procedure code.
 +
 +Just as an example, if you bill for procedure 58570, a hysterectomy,​ but the patient is actually a male you will likely get a denial. ​  ​Common causes for this are the gender of the patient is registered as Other or Unknown or it is registered incorrectly as Male vs Female or the CPT codes is entirely incorrect (think typo).
 +
 +Findacode is the best procedure lookup tool on the market and can easily help your coders see this before claims are released.
 +
 +[[http://​www.findacode.com?​pc=GLOBONICS|Find-A-Code]]
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