Reason Code 5 | Remark Code M77

Code Description
Reason Code: 5 The procedure code/bill type is inconsistent with the place of service.
Remark Code: M77 Missing/incomplete/invalid place of service

 

Common Reasons for Denial

  • Place of service is not consistent with HCPC billed

Next Step

How to Avoid Future Denials

  • Verify prior to billing that the correct place of service for the HCPC provided is on the claim. The place of service for DMEPOS claims is considered the location where a beneficiary will primarily use the DMEPOS item.

 

Last Updated Tue, 06 Oct 2020 12:38:59 +0000