Reason Code 96 | Remark Codes N56 N115 - JA DME
Reason Code 96 | Remark Codes N56 N115
| Code | Description |
|---|---|
| Reason Code: 96 | Non-covered charge(s) |
| Remark Code: N56 and N115 | Procedure code billed is not correct/valid for the services billed or the date of service billed This decision was based on a Local Coverage Determination (LCD). An LCD provides a guide to assist in determining whether a particular item or service is covered |
Common Reasons for Denial
- Procedure code billed is not valid for the date of service on the claim
Next Step
- Correct claim line with appropriate procedure code for date of service and resubmit claim
How to Avoid Future Denials
- Ensure correct HCPC code is billed for date of service on claim
Last Updated Dec 09 , 2023
