Tips to prevent reject reason code 76474
This reason code is assigned when 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.
Tip: 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.