Reason Code 16 | Remark Code M60 - JA DME
Reason Code 16 | Remark Code M60
| Code | Description |
|---|---|
| Reason Code: 16 | Claim/service lacks information or has submission/billing error(s) |
| Remark Code: M60 | Missing Certificate of Medical Necessity |
Common Reasons for Denial
- Claim/service lacks information or has submission/billing error(s)
Next Possible Steps
- 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
- Ensure all medical documentation is on file to substantiate medical need, prior to billing
Last Updated Dec 20 , 2023
