J1 Part B Medical Review Top Denial Reason Codes

The J1 Part B Medical Review top denial reason codes article is now available on the J1 Part B Web site. Top Laboratory Denial Reason Codes 1. Denial Code N102 – Lack of Response to Medical Record Request 2. Denial Code 50 – Payer deems the information submitted does not support medical necessity of services billed. 3. Denial Code N237 ñ Documentation Is Illegible 4. Denial Code N29 – Documentation requested for the date of service was not received or was incomplete. Top Radiology Denial Reason Codes 1. Denial Code N455 – Documentation lacks the Necessary Provider Order 2. Denial Code N29 – No Documentation requested received for DOS or was incomplete 3. Denial Code M31 – Documentation lacks the Necessary Radiology Report Medicare Part A and Part B MAC for Jurisdiction 11; comprised of North Carolina, South Carolina, Virginia and West Virginia. Medicare Part A and Part B MAC for Jurisdiction 1; comprised of California, Hawaii and Nevada. They are also the Ohio Part B Carrier.