Related or Qualifying Claim / Service Not Identified on Claim - JE Part B

Common Reasons for Message

• Primary CPT has not been billed
• Primary CPT was not billed on same claim

Next Step

• View claim history to determine if primary CPT was billed
  • If not, add-on code cannot be billed
  • If so, review medical documentation to determine if secondary code can be billed
• Submit claim for primary CPT
• Submit Appeal request. See Appeals webpage for instructions on how to submit a Reopening or Redetermination

Claim Submission Tips

• Verify primary CPT was billed prior to billing add-on code