Reason Code 37541 - JF Part A
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).
- CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 1, Section 130.1.2
View reason code list, return to Reason Code Guidance page.
Last Updated Fri, 30 Dec 2022 18:17:38 +0000