What we check / Schema conformance

blockerHPT-L1-002

Billing code type is a recognized CMS code type

The code|type column must be one of CMS's recognized billing code systems (CPT, HCPCS, DRG variants, NDC, etc.). An unrecognized value means the code can't be looked up against any real fee schedule.

Regulatory citation

CMS v3.0.0 CSV/JSON data dictionary, code_information.type enum

How to fix it

Correct the code type to one of the CMS-recognized values, or remove the row if it doesn't map to a billable code.

Active since

2024-01-01