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Last Modified: 6/13/2020 Location: FL, PR, USVI Business: Part A

Avoiding RTP reason code 30949 FAQ

Q: We are receiving a return to provider (RTP) reason code 30949, so what steps can we take to avoid this reason code?
Click here 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.
Condition codes:
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
Click here to view other useful FAQs related to claim adjustments.
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