Last Modified: 6/13/2020
Location: FL, PR, USVI
Business: Part A
Q: We are receiving a return to provider (RTP) reason code 30949, so what steps can we take to avoid this reason code?
for a description associated with the Medicare Part A reason code(s). Enter a valid reason code into the box and click the submit button.
A: You are receiving this reason code when the type of bill (TOB) equals xx7 or xx8, but the claim change reason ‘condition code’ is not present on the bill.
• D0 - Changes to service dates
• D1 - Changes in charges
• D2 - Changes in revenue code/HCPC
• D3 - Second or subsequent interim PPS bill
• D4 - Change in Grouper input (DRG)
• D5 - Cancel only to correct a Medicare ID or provider number
• D6 - Cancel only - duplicate payment, outpatient to inpatient overlap, OIG overpayment
• D7 - Change to make Medicare secondary payer
• D8 - Change to make Medicare primary payer
• D9 - Any other changes
• E0 - Change in patient status
Please add the appropriate condition code listed above in the reason code narrative to correct your claim(s) and resubmit
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