Reason Code 37541

Reason Code Narrative

UB92 PROVIDER SUBMITTED ADJUSTMENT (XX7) IS FOR 'OTHER' REASONS NOT IDENTIFIABLE WITH SPECIFIC CLAIM CHANGE REASON (CONDITION CODE). A CONDITION CODE EQUALS 'D9'

Common Reason Code Errors

  • Claim change condition code D9 is billed and no comments are found on remarks page.
  • Claim change condition code D9 is billed but a more appropriate claim change condition code is available.

Common Reason Code Corrections

  • Include comments on remarks page or field as to what changes are being made.

Note: Anytime D9 claim change condition code is used remarks are required otherwise claim will be Returned To Provider (RTP).

Resource

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