5 Denial Code
5 Description :
The procedure code/type of bill is inconsistent with the place of service. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
Start: 01/01/1995 | Last Modified: 03/01/2018
Start: 01/01/1995 | Last Modified: 03/01/2018
The procedure code/bill type is inconsistent with the place of service
Missing/incomplete/invalid place of service
Missing/incomplete/invalid place of service
Denied. Physical therapy beyond the first 12 treatments requires authorization.
Not member Denied: No coverage effective at time of service.
5 ADJUSTMENT REASON CODE
Denial code 5.
5 REMARK CODE
5