Reason Code 30940

Description
A provider is not permitted to adjust a partially or fully medically denied claim.

Resolution
Reason code 30940 is received when attempting to adjust a claim with a medically denied line. If you are trying to add diagnosis codes, change CPT codes or move denied charges from non-covered to covered, you must submit a Redetermination. If applicable, a provider initiated reopening TOB (XXQ) may be submitted.

Reference
SE1426 (PDF, 1 MB) — Scenarios and Coding Instructions for Submitting Requests to Reopen Claims that are Beyond the Claim Filing Timeframes — Companion Information to MM8581: "Automation of the Request for Reopening Claims Process."

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