Reason Code 96 | Remark Code N115 - JA DME
Reason Code 96 | Remark Code N115
|Reason Code: 96||Non-covered charge(s).|
|Remark Code: N115||This decision was based on a Local Coverage Determination (LCD). An LCD provides a guide to assist in determining whether a particular item or service is covered. A copy of this policy is available on the Medicare Coverage Database, or if you do not have web access, you may contact the contractor to request a copy of the LCD.|
Common Reasons for Denial
- Medicare does not pay for this item or supply.
- 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
- Review the applicable Local Coverage Determination (LCD), LCD Policy Article prior to billing for coverage criteria requirements
Last Updated Tue, 15 Dec 2020 21:15:09 +0000