If you have questions about which condition or occurrence codes to use, please call the payer to ask. Barnestorm does not have this information.

D7 and/or D9 goes on the Medicaid payer extra billing info when the patient also has Medicare, but is not homebound; and Medicare is either d/c or was never used for that admission.

Condition code D7 can be used to override Medicare Part A, and condition code D9 can be used to override Medicare Part B when the services provided are noncovered or the services do not meet Medicare criteria.

If the patient has Medicare Part A and Medicare Part B, include both condition codes in the extra billing info tab, under the Medicaid payer.

For CMS 1500 form > Box 10 Is Patient's Condition Related to Employment, Auto Accident, Other Accident:
Condition code 02 will make box 10a (employment) answer as yes; occurrence codes 01 or 02 will make box 10b (auto accident) answer as yes; occurrence code 03 or 05 will make 10c (other accident) answer as yes; occurrence code 04 will make 10a (employment)  yes and 10c (other accident).

No condition code is needed to bill supplies.
HI*BG:D7~   this is the line in the claim with the condition code. In this case, it's D7.

Here is a site with condition codes:

https://www.cgsmedicare.com/parta/pubs/news/2013/0213/cope21194.html#B

Condition / Occurrence Codes for a patient (which show on a UB form, for example) are found and changes as follows:

1. Select the patient.
2. Click on Referral.
3. Click the Payers tab.
4. Click the Extra Billing Info button.
5. If the code is only for a specific time period then click the Add  New "From Date" to select your dates.  Otherwise, continue to next step.
6. Enter the condition or occurrence code (and dates if needed).
7. Click the Save button. 
8. The panel in the upper right shows any dates for which there are extra billing listings for the patient. To update an existing code select the entry.
9. Change the condition codes as needed.
10. Click the Save button.
11. Click the Exit button in the upper right.