EOB Codes and Descriptions - Kymmis.com

KYEOB925926927928931KENTUCKY EOB/ESC CROSSWALK TO HIPAAHIPAAADJ RSNCODESMMIS EXCEPTIONMEDICAID DESCRIPTIONCODE(S)CLAIM/ DETAIL DENIED. VENIPUNCTUREAND ARTERIAL PUNCTURE NOT ALLOWEDON SAME DATE OF SERVICE AS OTHERMONITORED PROCEDURES. 925 97CLAIMS/DETAIL DENIED. THIS SERVICE NOTPAYABLE ON THE SAME DATEOF SERVICE AS VENIPUNCTURE ANDARTERIAL PUNCTURE.926 97HIPAA ADJ RSN CODEDESCRIPTIONPayment is included in theallowance for anotherservice/procedure.Payment is included in theallowance for anotherservice/procedure.HIPAAREMARKCLAIM DENIED. THE CLINIC NUMBER MUSTBE ENTERED. 927 A1 Claim denied charges. MA82DETAIL DENIED. A VALID 5-DIGIT MODIFIERMUST BE ENTERED. 928 4CLAIM DENIED. COMPOUND CODE MISSINGOR INVALID. 931 B18The procedure code isinconsistent with the modifierused or a required modifier ismissing.Payment denied because thisprocedure code/ modifier wasinvalid on the date of service orclaim submission.933CLAIM DENIED. UNIT DOSE INDICATORMISSING OR INVALID. 933 A1 Claim denied charges. M123935 DRUG INCOMPATIBILITY ALERT. 751 96 Non-covered charge(s).944 LOW DOSE ALERT. 752 96 Non-covered charge(s).945 HIGH DOSE ALERT. 753 96 Non-covered charge(s).946 LATE REFILL. 755 96 Non-covered charge(s).947 MINIMUM DURATION ALERT. 756 96 Non-covered charge(s).948 MAXIMUM DURATION ALERT. 757 96 Non-covered charge(s).949 DRUG ALLERGY ALERT. 758 96 Non-covered charge(s).MA112M78N60HIPAA REMARK CODEDESCRIPTIONMissing/incomplete/invalidprovider/supplier billingnumber/identifier or billing name,address, city, state, zip code, orphone number.Missing/incomplete/invalid grouppractice information.Missing/incomplete/invalid HCPCSmodifier.A valid NDC is required for paymentof drug claim effective Oct 2002Missing/incomplete/invalid name,strength, or dosage of the drugfurnished.950951952953954955956957958CLAIM DENIED. THIS SERVICE IS NOTPAYABLE FOR PSYCHIATRIC RESIDENTIALTREATMENT FACILITY RECIPIENTS. 950 96 Non-covered charge(s). N30 Recipient ineligible for this service.THIS SERVICE IS NOT COVERED BYMEDICAID. 959 96 Non-covered charge(s).REIMBURSEMENT FOR THIS SERVICE ISINCLUDED IN THE TOTAL PAYMENTAMOUNT. 952 B15CLAIM DETAIL DENIED. ONLY ONE UNIT OFSERVICE ALLOWED PER MODIFIER. 953 119CLAIM DETAIL DENIED. THE PROCEDURECODE MODIFIER IS MISSING OR INVALID. 954 4CLAIM/DETAIL DENIED. PROVIDERSPECIALTY INVALID FOR MODIFIER GT. 955 B18THIS PROFESSIONAL CANNOT BILL THISPROCEDURE CODE. 956 8CMHC PROCEDURES X0054 OR X0152PAYABLE ONLY WHEN BILLED WITHANOTHER CMHC PROCEDURE CODE 957 107EFFECTIVE WITH DATES OF SERVICE ONOR AFTER 070193, A FIVE- DIGIT MODIFIERMUST BE BILLED ON COMMUNITY MENTALHEALTH CENTER CLAIMS. 958 4Payment adjusted because thisprocedure/service is not paidseparately.Benefit maximum for this timeperiod has been reached.The procedure code isinconsistent with the modifierused or a required modifier ismissing.Payment denied because thisprocedure code/ modifier wasinvalid on the date of service orclaim submission.The procedure code isinconsistent with the providertype/specialty (taxonomy).Claim/service denied because therelated or qualifying claim/servicewas not previously paid oridentified on this claim.The procedure code isinconsistent with the modifierused or a required modifier ismissing.M63M78N95N95N56M78We do not pay for more than one ofthese on the same day.Missing/incomplete/invalid HCPCSmodifier.This provider type/provider specialtymay not bill this service.This provider type/provider specialtymay not bill this service.Procedure code billed is notcorrect/valid for the services billed orthe date of service billed.Missing/incomplete/invalid HCPCSmodifier.959 PRIOR ADVERSE DRUG REACTION. 759 96 Non-covered charge(s).960THIS REVENUE CODE IS NOT PAYABLEWHEN BILLED WITH ALL INCLUSIVEACCOMMODATION REVENUE CODE 100.CHARGES MOVED TO NON-COVERED. 960 97Payment is included in theallowance for anotherservice/procedure.THIS REVENUE CODE IS NOT PAYABLEWHEN BILLED WITH ALL INCLUSIVEREVENUE CODE 101 AND ALL INCLUSIVEPayment is included in theANCILLARY REVENUE CODE 240. CHARGESallowance for another961 MOVED TO NON-COVERED. 961 97 service/procedure.962 PREGNANCY ALERT. 763 96 Non-covered charge(s).963 DRUG/GENDER ALERT. 764 96 Non-covered charge(s).N34M50M50Incorrect claim form for this service.Missing/incomplete/invalid revenuecode(s).Missing/incomplete/invalid revenuecode(s).Page 44 of 46 Date: 3/30/2005