furnished these services in another location on the date of the patients admission or discharge from a demonstration hospital. Note: (Modified 8/1/05) M24 Missing/incomplete/invalid number of doses per vial. D15 Claim lacks indication that service was supervised or evaluated by a physician. 61 Charges adjusted as penalty for failure to obtain second surgical opinion. The section specifies that physicians who knowingly and willfully fail to make appropriate refunds may be subject to civil monetary penalties and/or exclusion from the program. If you do not request a appeal, we will, upon application from the patient, reimburse him/her for the amount you have collected from him/her in excess of any deductible and coinsurance amounts.
8/1/04) Consider using Reason Code B20 M89 Not covered more than once under age. This payment may be subject to refund upon your receipt of any additional payment for this service from another payer. Note: (New Code 10/31/02) N157 Transportation to/from this destination is not covered. M113 Our records indicate that this patient began using this service(s) prior to the current round of the dmepos Competitive Bidding Demonstration. Note: (Modified 8/1/04, 2/28/03) Related to N236 M31 Missing radiology report. Note: (Modified 12/2/04) Related to N303 MA67 Correction to a prior claim. M122 Missing/incomplete/invalid level of subluxation.
Note: New as of 10/02 152 Payment adjusted because the payer deems the information submitted does not support this length of service. Note: (New Code 2/28/03) N163 Medical record does not support code billed per the code definition. 029 The time limit for filing has expired. N89 Payment information for this claim has been forwarded to more than one other payer, but format limitations permit only one of the secondary payers to be identified in this remittance advice. Split into codes 150, 151, 152, 153 and 154. Note: (New Code 12/2/04) N339 Missing/incomplete/invalid similar illness or symptom date.
2/5/05) Consider using MA120 MA52 Missing/incomplete/invalid date. MA97 Missing/incomplete/invalid Medicare Managed Care Demonstration contract number. Note: (New Code 2/28/03) N172 The patient is not liable for the denied/adjusted charge(s) for receiving any updated service/item.