Reason Code 37541

Reason Code Narrative

UB92 PROVIDER SUBMITTED ADJUSTMENT (XX7) IS FOR 'OTHER' REASONS NOT IDENTIFIABLE WITH SPECIFIC CLAIM CHANGE REASON (CONDITION CODE). A CONDITION CODE EQUALS 'D9'

Common Reason Code Errors

  • Claim change condition code D9 is billed and no comments are found on remarks page.
  • Claim change condition code D9 is billed but a more appropriate claim change condition code is available.

Common Reason Code Corrections

  • Include comments on remarks page or field as to what changes are being made.

Note: Anytime D9 claim change condition code is used remarks are required otherwise claim will be Returned To Provider (RTP).

Resource

View reason code list, return to Reason Code Guidance page.

 

Last Updated Wed, 26 Feb 2020 14:42:29 +0000