Reason Code 16 | Remark Codes MA66 - JA DME

Common Reasons for Denial

• Item billed was missing or had an incomplete/invalid procedure code

Next Step

• Correct claim and resubmit claim with a valid procedure code listed on the PDAC website

How to Avoid Future Denials

• Ensure that all claim lines have a valid procedure code prior to billing for the date of service billed as listed on the PDAC website
• Update software systems as necessary to ensure claims are billed with current procedure code