Reason Code 31814

Published 12/16/2019

Description
Line reject reason code 31814 assigns when there is a "Q" in the HCPCS fee indicator field on the HCPC file and charges are billed as covered.

Resolution
No provider corrections necessary. This is a valid processing reason code which does not reflect incorrect billing. G-codes and related modifiers are required on selected claims for all outpatient therapy services. These are not payable by Medicare.

Resource
Items and Services Not Covered Under Medicare (PDF).