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Reason Code 176 | Remark Code N115 - JA DME

Reason Code 176 | Remark Code N115

Code Description
Reason Code: 176 Prescription is not current.
Remark Code: N115 This decision was based on a Local Coverage Determination (LCD)


Common Reasons for Denial

  • A recent break in medical need
  • 13/15 months have been paid
  • Same and Similar equipment on file

Next Step

How to Avoid Future Denials

Refer to applicable Local Coverage Determination (LCD), LCD Policy Article to verify a CMN/DIF is required


Last Updated Thu, 23 Feb 2023 18:27:59 +0000