Reason Code 108 | Remark Code N130 - JA DME
Reason Code 108 | Remark Code N130
| Code | Description |
|---|---|
| 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.
Next Step
- 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 Dec 09 , 2023
