Reason Code 5 | Remark Code M77 - JA DME
Reason Code 5 | Remark Code M77
| Code | Description |
|---|---|
| Reason Code: 5 | The procedure code/bill type is inconsistent with the place of service. |
| Remark Code: M77 | Missing/incomplete/invalid place of service |
Common Reasons for Denial
- Place of service is not consistent with HCPC billed
Next Step
- A self service reopening can be conducted to change place of service or HCPC code on the Noridian Medicare Portal
How to Avoid Future Denials
- Verify prior to billing that the correct place of service for the HCPC provided is on the claim. The place of service for DMEPOS claims is considered the location where a beneficiary will primarily use the DMEPOS item.
Last Updated Dec 09 , 2023
