Reason Code 30940

Published 12/16/2019

A provider is not permitted to adjust a partially or fully medically denied claim.

Reason code 30940 is received when attempting to adjust a claim with a medically denied line. If you are trying to add diagnosis codes, change CPT codes or move denied charges from non-covered to covered, you must submit a Redetermination. If applicable, a provider initiated reopening TOB (XXQ) may be submitted.

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