Reason Code 97 | Remark Code N390

Code Description
Reason Code: 97 The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.
Remark Code: N390 This service/report cannot be billed separately.

 

Common Reasons for Denial

  • HCPCS billed is included in payment/allowance for another service/procedure that was already adjudicated

Next Step

How to Avoid Future Denials

  • Refer to applicable Local Coverage Determination (LCD), LCD Policy Article to determine whether the HCPCS code is included in another service
  • Payment for both oxygen contents used with stationary oxygen equipment and oxygen contents used with portable oxygen equipment is included in the 36 monthly payments for oxygen equipment HCPCS E0424, E0439, E1390, or E1391. Before submitting claim for contents, verify stationary or portable oxygen equipment has met all 36 rental month payments
  • To verify number of oxygen rental payments, the Noridian Medicare Portal can be accessed under Same or Similar to verify number of oxygen rental payments or call the Noridian Interactive Voice Response (IVR) System @ 877-320-0390 for Same or Similar

 

Last Updated Tue, 15 Dec 2020 17:07:26 +0000