Reason Code 30949


Description
For an adjustment, the claim frequency code is equal to a "7," "Q" or "8" and there is no claim change reason code (condition code D0, D1, D2, D3, D4, D5, D6, D7, D8, D9 or E0).

Resolution
Claims with bill type xx7 or xx8 must contain a claim change reason/condition code. Valid codes are D0 thru D9 and E0. When using condition code D9, the remarks section of the claim must show the reason for the adjustment. Please correct and resubmit.

Resource
You can find a list of claim change reason/condition codes on the National Uniform Billing Committee (NUBC) website.





Last Updated: 12/16/2019