Reason Code 176 | Remark Code N115

Code Description
Reason Code: 176 Prescription is not current.
Remark Code: N115 This decision was based on a Local Coverage Determination (LCD)

 

Common Reasons for Denial

  • A recent break in medical need
  • 13/15 months have been paid
  • Same and Similar equipment on file

Next Step

How to Avoid Future Denials

Refer to applicable Local Coverage Determination (LCD), LCD Policy Article to verify a CMN/DIF is required

 

Last Updated Mon, 21 Dec 2020 22:17:45 +0000