Reason Code 54NCD: NCD Denial: No Diagnosis, Documentation to Support Medical Necessity

Reason Code 54NCD
NCD Denial — No Diagnosis/Documentation to Support Medical Necessity (Provider Liable) (Beneficiary Liable)

The service(s) billed (was/were) not covered because medical necessity was not supported as outlined in Palmetto GBA's Local Coverage Determination (LCD). Local Coverage Determination (LCD): Outpatient Physical Therapy (L34428).