Claim Adjustment Reason Codes - Palmetto GBA
Claim Adjustment Reason Codes - Palmetto GBA
Claim Adjustment Reason Codes - Palmetto GBA
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<strong>Reason</strong>Description<strong>Codes</strong>M29 Missing operative note/report.Start: 01/01/1997 | Last Modified: 07/01/2008Notes: (Modified 2/28/03, 7/1/2008) Related to N233M30 Missing pathology report.Start: 01/01/1997 | Last Modified: 08/01/2004Notes: (Modified 8/1/04, 2/28/03) Related to N236M31 Missing radiology report.Start: 01/01/1997 | Last Modified: 08/01/2004Notes: (Modified 8/1/04, 2/28/03) Related to N240M32 Alert: This is a conditional payment made pending a decision on thisservice by the patient's primary payer. This payment may be subject torefund upon your receipt of any additional payment for this service fromanother payer. You must contact this office immediately upon receipt ofan additional payment for this service.Start: 01/01/1997 | Last Modified: 04/01/2007Notes: (Modified 4/1/07)M36 This is the 11th rental month. We cannot pay for this until you indicatethat the patient has been given the option of changing the rental to apurchase.Start: 01/01/1997M37 Service not covered when the patient is under age 35.Start: 01/01/1997M38 The patient is liable for the charges for this service as you informed thepatient in writing before the service was furnished that we would notpay for it, and the patient agreed to pay.Start: 01/01/19976