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Last Modified: 8/5/2022 Location: FL, PR, USVI Business: Part A

Reject reason code 76474 FAQ

Q: We are receiving reject reason code 76474, so what steps can I take to avoid this reason code?
A: You received this reason code because the patient has met the Medicare annual therapy cap limit for the calendar year.
Confirm the beneficiary’s physical and occupational therapy cap information via the following self-service tools:
Refer to our Rehabilitation Services specialty page for additional information for rehabilitation service providers.
Did you know you can refer to our Part A reason code lookup for a description associated with the Medicare Part A reason codes? Enter a valid reason code into the box and click the submit button.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.