Reason Code 50 | Remark Code N130

Code Description
Reason Code: 50 Item billed does not meet medically necessity
Remark Code: N130 Non Covered item

 

Common Reasons for Denial

  • Item requires DIF or CMN
  • Specific ICD-10 required
  • KX modifier required

Next Step

How to Avoid Future Denials

  • Attach the required CMN or DIF that is required for HCPC that is being billed
  • Verify that the diagnosis code is correct
  • Verify the required modifiers are appended to the HCPC codes submitted. The Modifier Lookup Tool may be utilized to verify proper modifiers that may be appended to claim

 

Last Updated Thu, 10 Dec 2020 15:06:48 +0000