Reason Code 32404

Published 12/16/2019

Description
The revenue code file indicates that a HCPCS code is required. Either the HCPCS code is missing from the claim or is not on file for one of the following reasons:

  1. The HCPCS code entered on the claim is not a valid HCPCS/CPT code
  2. The HCPCS code entered on the claim is not billable to Medicare. For example: Codes beginning with “S” or “T.”

Resolution
Please refer to the most current CPT-4 or HCPCS coding book to verify that the HCPCS being billed is valid for the dates of service on the claim. Make any necessary corrections and resubmit.