Reason Code 16 | Remark Code M51

Code Description
Reason Code: 16 Claim/service lacks information or has submission/billing error(s)
Remark Code: M51 Missing/incomplete/invalid procedure code(s)

 

Common Reasons for Denial

  • Item billed was missing or had an incomplete/invalid procedure code

Next Step

  • Correct claim and resubmit claim with a valid procedure code

How to Avoid Future Denials

  • Ensure that all claim lines have a valid procedure code prior to billing for the date of service billed
  • Update software systems as necessary to ensure claims are billed with current procedure code

 

Last Updated Tue, 06 Oct 2020 12:42:29 +0000