Last Modified: 12/4/2024
Location: FL, PR, USVI
Business: Part A
Q: What steps can I take to avoid return to provider (RTP) reason code(s) 32400-32404?
Click here for descriptions associated with Medicare Part A reason codes. Enter a valid reason code into the box and click the submit button.
A: Prior to submitting your claim, verify the revenue code(s) and/or HCPCS or CPT code combination is correct, complete, and/or valid (as applicable).
The following reason codes are frequently associated with this edit:
• 32400 – HCPCS/CPT code is missing
• 32401 – HCPCS/CPT code is invalid
• 32402 – HCPCS/CPT code and revenue code combination is invalid
• 32403 – HCPCS/CPT code is invalid for date(s) of service (DOS)
• 32404 – HCPCS/CPT code is invalid
Additional resources:
• Refer to our coding website page for additional guidance on
procedure codes. Learn how to research detailed claim information and coding requirements through DDE:
Claim summary inquiry (12)
Revenue codes (13)
HCPC inquiry (14)
Claim summary inquiry (12) Review detailed claim information, to identify line item(s) that resulted in the claim error.
• Open the claim and go to claim page 02 (MAP171)
• Press the ‘F2’ key and review the line item details (MAP171D)
• Review each line that failed with line item reason codes 32400-32404
Utilize the revenue code inquiry screen when you need to determine:
• Effective and termination dates (if applicable)
• Allowable type of bills (TOB)
• If a HCPCS code is required
• If a unit is required
• If a rate is required
Utilize the HCPCS inquiry screen when you need to determine:
• Effective and termination dates (if applicable)
• Allowable revenue codes
Note: When the allowable revenue codes field is blank, the system allows any revenue code for the keyed HCPCS.
Source: First Coast Education Action Team
Source: First Coast's Education Action Team
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.