Reason Code 108 | Remark Code N130

Code Description
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.

Next Step

  • 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