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.
View reason code list, return to Reason Code Guidance page.
Last Updated May 22, 2018