Box 71 - PPS Code

Box Definition

Box 71 is used to display the Diagnosis Related Group (DRG) Codes, generally only required when under contract with a health plan using DRG codes.

In AveaOffice

To update Box 71 in AveaOffice:

1. Navigate to Management Center > Claim Rules
2. Select Create Claim Form Rule.
3. Select the Practice.
4. Name the rule.
5. Select Claim Type Institutional.
6. Select your conditions. (Primary Behavioral Payer and HCPCS/CPT Code may be sufficient for your rule.)
   
7. Select behavior (DRG Code)
   
8. Click Add
9. Enter in the DRG code.
10. Click Create.

EDI Loop/Segment

Loop 2300, Segment HI01-2