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, 13 May 2020 19:35:32 +0000