Common Reasons for Denial

• Item billed is included in allowance of other service provided on the same date

Next Step

• This denial is not appealable, and reimbursement is not available, if any questions, please call the provider contact center
• Amount may need to be adjusted from supplier’s records as supplier liable

How to Avoid Future Denials

Review applicable Local Coverage Determination (LCD), LCD Policy Article prior to billing for bundling, usual maximum quantities, kits, etc.