Reason Code 32402

Reason Code Narrative

ACCORDING TO THE REVENUE CODE TABLE, A HCPC IS REQUIRED FOR THE LINE ITEM BEING EDITED. COVERED CHARGES FOR THE LINE ITEM BEING EDITED ARE GREATER THAN ZERO. THERE IS AT LEAST ONE REVENUE CODE PRESENT ON THE HCPC TABLE FILE IN THE AREA CONTAINING ALLOWABLE REVENUE CODES (EXCLUDES 0022) TO BE PRESENT FOR THE HCPC CODE BEING EDITED.

Common Reason Code Errors

  • HCPC and revenue code are not compatible
  • Revenue code reported requires valid HCPC

Common Reason Code Corrections

  • Verify correct HCPC is billable with revenue code reported
  • If revenue code does not contain a HCPC, validate a HCPC is necessary
  • If combination has been verified and is valid, call Provider Contact Center

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Last Updated Oct 19, 2018