Reason Code 4 | Remark Code N519 - JA DME
Reason Code 4 | Remark Code N519
|Reason Code: 4
|The procedure code is inconsistent with the modifier used or a required modifier is missing.
|Remark Code: N519
|Invalid combination of HCPCS modifiers.
Common Reasons for Denial
- HCPCS code is inconsistent with modifier used or required modifier is missing
- Correct claim line with appropriate required modifier and resubmit claim
How to Avoid Future Denials
- Use appropriate modifiers per appropriate Local Coverage Determination (LCD), LCD Policy Article
- Utilize the Noridian Modifier Lookup Tool to ensure proper modifiers are included on claim