Reason Code 5NPDN - JF Part A
Reason Code 5NPDN
Reason Code Narrative
THE INFORMATION PROVIDED DOES NOT SUPPORT THE NEED FOR THIS SERVICE OR ITEM.
Common Reason Code Errors
- Information billed does not support the need for item or service billed.
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 Wed, 04 Jan 2023 17:50:46 +0000