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Reason Code Search and Resolution

Disclaimer: This is not a complete list of reason codes.

The Reason Code Search and Resolution tool allows you to view a reason code description and determine how to prevent/resolve the edit. You may search by reason code or keyword. All records matching your search criteria will be returned for your review. You may also select "Show all Reason Codes" to view the complete list.

If the reason code you enter does not display here, you may access any reason code description in the Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Reason Codes Inquiry Menu (Option 17) . For additional information, please reference the FISS DDE User Manual.

Search by:

Reason Code 32901

Description:

The claim adjustment does not include a valid adjustment reason code.

Resolution:

When submitting an adjustment (type of bill XX7) via the Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) an Adjustment Reason Code is required.

Enter the two digit Adjustment Reason Code on FISS DDE Claim Page 03 in the ADJUSTMENT REASON CODE field. The most common adjustment reason codes are:

RF – change dates of service
RG – change charges
RH – change revenue/HCPCS code
RM – Other/multiple changes
RN – change patient status

Additional Adjustment Reason Codes can be found by typing 16 in the SC field on any of the FISS claim pages and pressing Enter. Refer to the "Chapter 3 – Inquiry MenuPDF" of the FISS Guide for information about the Adjustment Reason Codes (option 16).

For additional information about adjustments, refer to the Adjustments/Cancels webpage and Chapter 5 – Claims CorrectionPDF.

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Posted: 10.16.2020

Disclaimer: CGS' online tools and calculators are informational and educational tools only, designed to assist suppliers and providers in submitting claims correctly. CGS makes no guarantee that this resource will result in Medicare reimbursement for services provided. Although we've made every reasonable effort to provide effective resources, CGS is not responsible for the consequences of any decisions or actions taken in reliance upon or as a result of the information that these tools provide. CGS is not responsible for any human or mechanical errors or omissions.

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