Reason Code 5D510: There Was No Evidence of at Least Three Consecutive Day of Inpatient Hospital Stay

Published 05/22/2019

The documentation submitted does not support medical necessity as listed in coverage requirements.

To Prevent This Denial

  • Ensure that the beneficiary has had a qualifying hospital stay of three (3) consecutive days
  • Provide documentation that supports the qualifying hospital stay
  • Provide all supporting documentation to support the reason the beneficiary was hospitalized

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