Claim Adjustment Reason Codes - Palmetto GBA

ReasonCodesM112M113M114M115M116M117DescriptionReimbursement for this item is based on the single payment amountrequired under the DMEPOS Competitive Bidding Program for the areawhere the patient resides.Start: 01/01/1997 | Last Modified: 11/05/2007Notes: (Modified 11/5/07)Our records indicate that this patient began using this item/service priorto the current contract period for the DMEPOS Competitive BiddingProgram.Start: 01/01/1997 | Last Modified: 11/05/2007Notes: (Modified 11/5/07)This service was processed in accordance with rules and guidelinesunder the DMEPOS Competitive Bidding Program or a DemonstrationProject. For more information regarding these projects, contact yourlocal contractor.Start: 01/01/1997 | Last Modified: 11/05/2007Notes: (Modified 8/1/06, 11/5/07)This item is denied when provided to this patient by a non-contract ornon-demonstration supplier.Start: 01/01/1997 | Last Modified: 11/05/2007Notes: (Modified 11/5/2007)Paid under the Competitive Bidding Demonstration project. Project isending, and future services may not be paid under this project.Start: 01/01/1997 | Last Modified: 02/01/2004Notes: (Modified 2/1/04)Not covered unless submitted via electronic claim.Start: 01/01/1997 | Last Modified: 06/30/2003Notes: (Modified 6/30/03)14