Reason Code 31997

Reason Code Narrative

THE TOB IS EQUAL TO INPATIENT (11X, 18X, 21X, OR 41X), THE NON-COVERED CHARGES ARE GREATER THAN ZERO AND ARE EQUAL TO THE TOTAL CHARGES, AND OCCURRENCE SPAN CODE 79 OR M1 IS PRESENT ON THE CLAIM.

Common Reason Code Errors

  • Entire claim is billed with non-covered charges with span code 79 or M1.

Common Reason Code Corrections

  • This is a valid processing reason code. It does not reflect incorrect billing.

Resource

 

Last Updated Thu, 19 Dec 2019 12:21:49 +0000