Duplicate reject/return to provider (RTP) reason code
Questions and answers regarding reasons for returned to provider (RTP) and rejected claims.
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Billing instructions for implanted prosthetic devices with HCPCS code C9899: Reason code 32354
To promote consistency in the claim submission process, follow these instructions when billing HCPCS code C9899.
Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims
Please review the revised blood product codes list.
Durable medical equipment (DME)
Find the latest Medicare news identified specifically for providers of DME as well as helpful information, tools, and links to...
Update history: LCD and article updates
View the most recent updates for our LCDs and articles.
SPOT features and functionality
A complete list of features currently available in SPOT with descriptions.
Clinical laboratory
Information for clinical laboratory providers and suppliers, including links to LCDs/NCDs, education, FAQs, provider enrollment...
Preventive services and screenings
CMS recognizes the crucial role health care professionals play in promoting, providing, and educating Medicare patients about...
Physical therapy plan of care requirements
When billing for rehabilitation therapy services, there are some documentation requirements that must be met to comply with the...
Local and national coverage reference guide
Learn how to locate local and national coverage information regarding local coverage determinations (LCDs) and national coverage...