Reason Code 50 | Remark Code M127
Code |
Description |
Reason Code: 50 |
These are non-covered services because this is not deemed a 'medical necessity' by the payer. |
Remark Code: M127 |
Missing patient medical record for this service. |
Common Reasons for Denial
- Documentation requested was not received or was not received timely
- Added ST or KV modifier and an affirmative UTN to claim line, which initiated a prepayment review. Documentation requested was not received
Next Step
How to Avoid Future Denials
- Respond to development letters with supporting documentation within designated timeline as defined on letter
- When an affirmative UTN has been received, only append the UTN, do not append the ST or KV modifier for an acute or emergent situation
Last Updated $dateUtil.getDate( $modifieddate , "MMM dd , yyyy" , $locale , $tzone )