Reason Code 108 | Remark Code N130 - JA DME
Reason Code 108 | Remark Code N130
|Reason Code: 108||Rent/purchase guidelines were not met.|
|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 (LCD), LCD Policy Article
- Refer to the Fee Schedule Category on the Medicare Pricing, Data Analysis, and Coding (PDAC) website.
Last Updated Tue, 15 Dec 2020 17:08:08 +0000