Reason Code 55503

Description 
Service is not medically necessary based on Medicare guidelines. If you disagree with this decision you may ask for a redetermination within the program time frames.

Resolution
Refer to Palmetto GBA's LCDs on our website under Medicare Policies Medical Policies for
JJ Part A and JM Part A. If you disagree with this decision, you may request a redetermination.

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

 

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