Reason Code 96 | Remark Code N115 - JA DME
Reason Code 96 | Remark Code N115
| Code | Description |
|---|---|
| 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.
Next Step
- 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 Dec 09 , 2023
