Description
Line reject reason code 31814 assigns when there is a "Q" in the HCPCS fee indicator field on the HCPC file and charges are billed as covered.

Resolution
No provider corrections necessary. This is a valid processing reason code which does not reflect incorrect billing. G-codes and related modifiers are required on selected claims for all outpatient therapy services. These are not payable by Medicare.

Resource
Items and Services Not Covered Under Medicare (PDF, 1.16 MB).

 

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