Reason Code Help Tool
Disclaimer: This is not a complete listing of reason codes. Reason codes may be added and are subject to change.
This Claims Submission Error Help Tool is designed to aid Medicare providers in reviewing reason codes and how to resolve the edit or use them for determining if other action is needed. You may search this page by reason code or keyword. All records matching your search criteria will be returned for your review. If you are aware of a reason code not listed or a description and/or a resolution is not clear, please email Palmetto GBA (firstname.lastname@example.org) with your suggestion for reason code addition or update.
Questions regarding individual claims must be directed to the Provider Contact Center. You may fax a Written Inquiry Request Form (PDF) to have your inquiry answered. Please do not include any Protected Health Information.
A full listing of reason codes, their descriptions, resolutions, and additional billing information are available beneath the search field below.