Reason Code 97 | Remark Code N390 - JD DME
Reason Code 97 | Remark Code N390
| Code | Description |
|---|---|
| Reason Code: 97 | The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated. |
| Remark Code: N390 | This service/report cannot be billed separately. |
Common Reasons for Denial
- HCPCS billed is included in payment/allowance for another service/procedure that was already adjudicated
Next Step
- A Redetermination request may be submitted with all relevant supporting documentation. Noridian encourages Redeterminations/Appeals be submitted using the Noridian Medicare Portal. Review applicable Local Coverage Determination (LCD), LCD Policy Article , and Documentation Checklists prior to submitting request.
How to Avoid Future Denials
- Refer to applicable Local Coverage Determination (LCD), LCD Policy Article to determine whether the HCPCS code is included in another service
- Payment for both oxygen contents used with stationary oxygen equipment and oxygen contents used with portable oxygen equipment is included in the 36 monthly payments for oxygen equipment HCPCS E0424, E0439, E1390, or E1391. Before submitting claim for contents, verify stationary or portable oxygen equipment has met all 36 rental month payments
- To verify number of oxygen rental payments, the Noridian Medicare Portal can be accessed under Same or Similar to verify number of oxygen rental payments or call the Noridian Interactive Voice Response (IVR) System for Same or Similar
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