What Is Condition Code30

Condition Code 30 means “Qualified Clinical Trial”. It must appear on the hospital inpatient or outpatient claim when billing for items/services related to a Qualified Clinical Trial or qualified study regardless of whether all services on the claim are related to the clinical trial or not.

What are condition codes on a claim?

Currently, Condition Codes are designed to allow the collection of information related to the patient, particular services, service venue and billing parameters which impact the processing of an Institutional claim.

What does it mean this code requires use of an entity code?

Entity acknowledges receipt of claim/encounter. Note: This code requires use of an Entity Code. The claim has been rejected at the payer’s end for an entity issue. With this rejection reason, the payer should send additional information indicating who the ‘Entity’ is.