Reason Code 108 | Remark Code N130
|Reason Code: 108||Rent/purchase guidelines were not met. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.|
|Remark Code: N130||Consult plan benefit documents/guidelines for information about restrictions for this service.|
Common Reasons for Denial
- The equipment is billed as a purchased item when only covered if rented.
- Correct and resubmit the claim.
How to Avoid Future Denials
- Check Local Coverage Determination and Policy Article.
- Refer to the Fee Schedule Category on the Medicare Pricing, Data Analysis, and Coding (PDAC) website.
Last Updated Nov 29, 2018