Apr 10, 2022
MCR – 835 Denial Code List CO : Contractual Obligations – Denial based on the contract and as per the fee schedule amount. CO should be sent if the adjustment is related to the contracted and/or negotiated rate Provider’s charge either exceeded contracted...
Apr 10, 2022
Medicaid Claim Denial Codes 1 Deductible Amount 2 Coinsurance Amount 3 Co-payment Amount 4 The procedure code is inconsistent with the modifier used or a required modifier is missing. 5 The procedure code/bill type is inconsistent with the place of service. 6 The...
Mar 15, 2022
BCBS denial code list BCBS insurance denial codes differ state to state and we could not refer one state denial code to other denial. Here we have list some of the state and Use Ctrl + F to find the code and exact reason for that codes. If the reason code not listed...
Mar 15, 2022
PR – Patient Responsibility denial code list MCR – 835 Denial Code List PR – Patient Responsibility – We could bill the patient for this denial however please make sure that any other rejection reason not specified in the EOB. Same denial code...
Feb 27, 2022
Medicare denial codes – OA : Other adjustments, CARC and RARC list Medicare contractors are permitted to use the following group codes: CO Contractual Obligation (provider is financially liable);CR Correction and Reversal (no financial liability);OA Other...
Feb 27, 2022
Denial code and Reason PR 119 Benefit maximum for this time period has been reached (MEDICARE DOES NOT PAY FOR THIS MANY SERVICES OR SUPPLIES) CO -119 Benefit maximum for this time period or occurrence has been reached.Check Benefit Information through website/CallsIf...
Feb 13, 2022
CPT code and Description 81479 Unlisted molecular pathology procedure Overview This policy describes the information required when claims are submitted for Molecular Pathology services utilizing Tier 1 and Tier 2 Molecular Pathology codes, Genomic Sequencing...
Jan 4, 2022
CPT Codes for Sigmoidoscopy (45330-45350) CPT Code Code Descriptor 45330 Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)45331 Sigmoidoscopy, flexible; with biopsy, single or...
Nov 18, 2021
CPT Code Description 29824 Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) 29825 Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation 29826 Arthroscopy,...
Oct 9, 2021
CPT code and Description 11044 Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle, and/or fascia, if performed); first 20 sq cm or less 11047 Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle, and/or fascia, if...
