Reason Code 5LPDN - JF Part A
Reason Code 5LPDN
Reason Code Narrative
MEDICARE DOES NOT PAY FOR THIS SERVICE WITH THE DIAGNOSIS SHOWN ON THE CLAIM PROVIDER LIABLE
Common Reason Code Errors
- Service(s) billed is not a Medicare payable service
Common Reason Code Corrections
- A Redetermination may be submitted if facility feels that sending additional documentation will support need for service(s) provided. Request should include:
- All applicable supporting medical documentation
- Corrected UB-04 form
Direct Data Entry (DDE) users can view remarks section for additional clarification.
Resource
View reason code list, return to Reason Code Guidance page.
Last Updated Wed, 04 Jan 2023 14:22:20 +0000