Reason Code 31413

Description
Revenue code 44x is present on the claim; however, occurrence codes 45 and 11 are not present, or occurrence codes 45 and 11 are present and revenue code 44x is not present.

Applicable for type of bills: 13X, 23X, 34X, 74X or 75X.

Resolution
Revenue code 44x is used to indicate charges for services provided in speech language pathology and should be used in conjunction with occurrence code 11 to indicate the date the patient first became aware of the illness/symptom and occurrence code 45 for the date speech language therapy began. Please make the appropriate corrections and resubmit your claim.

Resource
CMS Publication 100-04, chapter 5 (PDF, 675 KB).

Contact Palmetto GBA JM Part A Medicare


Provider Contact Center: 855-696-0705

Email Part A

Contact a specific JM Part A department

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

Anonymous

 

Click to Chat Now