Reason Code 31324 - JE Part A
Reason Code 31324
Reason Code Narrative
FOR CLAIMS WITH DATES OF SERVICE 10/01/2000 OR AFTER WITH AN ACTIVE RECEIPT DATE OF 04/01/2004 OR AFTER:
THE CLAIM CONTAINS A LINE (S) WITH PROVIDER SUBMITTED NON-COVERED CHARGES AND A 'GL', 'GY' OR 'TS' MODIFIER IS PRESENT.
Common Reason Code Errors
- Provider submitted an outpatient claim for non-covered charges with HCPCS modifier GL, GY or TS.
- To appropriately assign liability to beneficiary for payment, service line with HCPCS modifier GL, GY or TS is reported as non-covered.
Common Reason Code Corrections
- No provider corrections necessary. This is a valid processing reason code which does not reflect incorrect billing.
View reason code list, return to Reason Code Guidance page.
Last Updated Thu, 22 Dec 2022 18:17:11 +0000