Reason Code 5D161: No Physician

Published 05/22/2019

This claim was fully or partially denied because there were no physician’s orders submitted for review for all or some of the services billed.

To Prevent This Denial

  • A physician’s order should be submitted for review with the request for copies of medical records
  • A legible signature is required on all documentation necessary to support orders and medical necessity
  • The copy of the order should be legible and dated
  • Make sure any orders submitted for review are for the dates of service billed

More Information

Was this article helpful?