Reason Code 39928 - JE Part A

Reason Code Narrative

THIS IS A CLAIM LEVEL REASON CODE FOR CLAIMS THAT HAVE ALL LINE ITEMS DENIED.

Common Reason Code Errors

• This is a claim level reason code for claims that have all line items denied by medical review.
• Each line of charges on this claim has been denied by medical review.

Common Reason Code Corrections

• Check the line level to determine why the lines were denied and who is liable.
  • Line level denials may be available on Claim page 2 (MAP171D) that will provide additional denial information.
  • If disagree with denial, you have the right to appeal.
  • Ensure all Medicare coverage, documentation and medical necessity requirements met before billing claim.
  • Review current Noridian Local Coverage Determinations (LCDs) and Billing and Coding Articles.

Resources

• CMS Medicare Coverage Database