Expired diagnosis or procedure codes
TruCare ProAuth applies the TruCare Code Expiration Date Settings that were configured by the TruCare administrator.
When you create or extend authorizations, TruCare ProAuth applies the TruCare Code Expiration Date Settings to the specified diagnosis and procedure codes.
Expired codes in IP and SP authorizations
This section describes the circumstances in which a diagnosis or procedure code is expired.
In an IP authorization:
• A code is expired if its termination date is before (<) the authorization's Admission Date or its effective date is after (>) the authorization's Admission Date.
• A code is valid if its effective date is equal to or before (=<) the authorization's Admission Date and there is no code termination date or the termination date is equal to or after (=>) the authorization's Admission Date.
In an SP authorization:
• A code is expired if its termination date is before (<) the authorization's Start Date or its effective date is after (>) the authorization's Start Date.
• A code is valid if its effective date is equal to or before (=<) the authorization's Start Date and there is no code termination date or the termination date is equal to or after (=>) the authorization's Start Date.