Claim Adjustment Reason Codes - Palmetto GBA

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ReasonCodesN230N231N232N233N234N235N236N237N238N239N240N241DescriptionIncomplete/invalid indication of whether the patient owns the equipmentthat requires the part or supply.Start: 08/01/2004Incomplete/invalid invoice or statement certifying the actual cost of thelens, less discounts, and/or the type of intraocular lens used.Start: 08/01/2004Incomplete/invalid itemized bill/statement.Start: 08/01/2004 | Last Modified: 07/01/2008Notes: (Modified 7/1/08)Incomplete/invalid operative note/report.Start: 08/01/2004 | Last Modified: 07/01/2008Notes: (Modified 7/1/08)Incomplete/invalid oxygen certification/re-certification.Start: 08/01/2004Incomplete/invalid pacemaker registration form.Start: 08/01/2004Incomplete/invalid pathology report.Start: 08/01/2004Incomplete/invalid patient medical record for this service.Start: 08/01/2004Incomplete/invalid physician certified plan of careStart: 08/01/2004Incomplete/invalid physician financial relationship form.Start: 08/01/2004Incomplete/invalid radiology report.Start: 08/01/2004Incomplete/invalid review organization approval.Start: 08/01/2004 | Last Modified: 02/29/2008Notes: (Modified 2/29/08)60
ReasonCodesN242N243N244N245N246N247N248N249N250N251N252N253N254N255DescriptionIncomplete/invalid radiology film(s)/image(s).Start: 08/01/2004 | Last Modified: 07/01/2008Notes: (Modified 7/1/08)Incomplete/invalid/not approved screening document.Start: 08/01/2004Incomplete/invalid pre-operative photos/visual field results.Start: 08/01/2004Incomplete/invalid plan information for other insuranceStart: 08/01/2004State regulated patient payment limitations apply to this service.Start: 12/02/2004Missing/incomplete/invalid assistant surgeon taxonomy.Start: 12/02/2004Missing/incomplete/invalid assistant surgeon name.Start: 12/02/2004Missing/incomplete/invalid assistant surgeon primary identifier.Start: 12/02/2004Missing/incomplete/invalid assistant surgeon secondary identifier.Start: 12/02/2004Missing/incomplete/invalid attending provider taxonomy.Start: 12/02/2004Missing/incomplete/invalid attending provider name.Start: 12/02/2004Missing/incomplete/invalid attending provider primary identifier.Start: 12/02/2004Missing/incomplete/invalid attending provider secondary identifier.Start: 12/02/2004Missing/incomplete/invalid billing provider taxonomy.Start: 12/02/200461
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Medicare Specific Remark CodesLast
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ReasonCodesM20M21M22M23M24M25Descri
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ReasonDescriptionCodesM29 Missing o
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ReasonCodesM50M51M52M53M54M55M56M59
Page 10 and 11: ReasonCodesM70M71M73M74M75M76M77M79
Page 12 and 13: ReasonCodesM91M93M94M95M96M97M99M10
Page 14 and 15: ReasonCodesM112M113M114M115M116M117
Page 16 and 17: ReasonCodesM127M129M130M131M132M133
Page 18 and 19: ReasonCodesMA01MA02MA04MA07MA08MA09
Page 30 and 31: ReasonDescriptionCodesMA108 Paper c
Page 32 and 33: ReasonCodesMA125MA126MA128MA130MA13
Page 34 and 35: ReasonCodesN10N11N12N13N15N16N19N20
Page 44 and 45: ReasonCodesN103N104N105N106N107Desc
Page 46 and 47: ReasonCodesN115N116N117N118N119Desc
Page 48 and 49: ReasonCodesN125DescriptionPayment h
Page 50 and 51: ReasonCodesN137N138N139DescriptionA
Page 52 and 53: ReasonCodesN148N149N150N151N152N153
Page 70 and 71: ReasonCodesN355DescriptionAlert: Th
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Claim Adjustment Reason Codes - Palmetto GBA

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