Reason Code 16 | Remark Code M51

Code Description
Reason Code: 16 Claim/service lacks information or has submission/billing error(s)
Remark Code: M51 Missing/incomplete/invalid procedure code(s)

 

Common Reasons for Denial

  • Item billed was missing or had an incomplete/invalid procedure code and or modifiers

Next Step

  • Correct claim and resubmit claim with a valid procedure code and or modifiers

How to Avoid Future Denials

  • Ensure that all claim lines have a valid procedure code and or modifiers prior to billing for the date of service billed
  • Update software systems as necessary to ensure claims are billed with current procedure code and or modifiers

 

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