5D510 - There Was No Evidence of at Least Three Consecutive Day of Inpatient Hospital Stay


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

For more information refer to:





Last Updated: 05/22/2019