Reason Code 4 | Remark Code N519 - JD DME
Reason Code 4 | Remark Code N519
| Code | Description |
|---|---|
| Reason Code: 4 | The procedure code is inconsistent with the modifier used or a required modifier is missing. |
| Remark Code: N519 | Invalid combination of HCPCS modifiers. |
Common Reasons for Denial
- HCPCS code is inconsistent with modifier used or required modifier is missing
Next Step
- Correct claim line with appropriate required modifier and resubmit claim
How to Avoid Future Denials
- Use appropriate modifiers per appropriate Local Coverage Determination (LCD), LCD Policy Article
- Utilize the Noridian Modifier Lookup Tool to ensure proper modifiers are included on claim
Last Updated Dec 09 , 2023
