Reason Code 30940

Published 12/16/2019

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

Resolution
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.