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Printed Date: 9/22/2015
This is an outpatient claim (Type of Bill 12X, 13X, or 14X) in which the Outpatient Prospective Payment System (OPPS) reimbursement is greater than the covered charges reported on the claim.
Reference: MLN Article 7771 (PDF, 87 KB). Prior to the initial submission of the claim, if providers are aware that the claim has a comprehensive APC that could be causing the reason code, they may indicate in Remarks that the charges have been verified. This will prevent the claim from RTPing with reason code 39132.
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Last Updated: 12/16/2019