Restricted codes for claim reopenings
The codes listed below cannot be corrected through the SPOT Claim Correction feature. If your claim includes any of these codes, use the SPOT Appeal Request feature to submit a request for redetermination.
Modifiers:
21, 22, 23, 24, 51, 52, 53, 55, 56, 62, 66, 73, 74, 99, CC, GA, GM, GX, GY, GZ, PA, PB, PC, SG
Denial codes:
001, 003, 005, 007, 014, 015, 018, 034, 035, 037, 038, 043, 048, 051, 073, 074, 075, 083, 085, 1AB, 1AC, 1AD, 1AF, 100, 101, 102, 107, 117, 118, 120, 127, 135, 148, 152, 156, 160, 172, 174, 177, 181, 182, 191, 2AA, 2AB, 2AF, 223, 224, 225, 226, 227, 259, 260, 299, 300, 307, 308, 309, 310, 339, 345, 346, 349, 355, 379, 382, 387, 394, 395, 406, 413, 438, 458, 483, 469, 470, 479, 480, 484, 504, 505, 506, 507, 508, 509, 512, 513, 526, 527, 531, 535, 536, 537, 538, 541, 542, 544, 546, 552, 560, 573, 581, 589, 590, 596, 601, 602, 621, 627, 633, 634, 636, 637, 638, 650, 651, 675, 678, 681, 750, 751, 752, 770, 780, 781, 782, 785, 790, 791, 792, 793, 795, 798, 801, 803, 804, 805, 814, 815, 835, 836, 846, 864, 870, 881, 882, 889, 908, 924, 954, 955, 971, 972, 977, 980, 982, 983, 984, 989, 993, AA0, AA1, AA2, AA3, AA6, AA7, AA8, AC3, AC5, AC6, AC9, AE2, AE3, AE4, AE7, AE8, AE9, AF4, A05, A06, A08, A11, A12, A15, A18, A19, A20, A22, A25, A26, A41, A42, A46, A52, A56, A59, A60, A61, A62, A63, A67, A68, A71, A76, A84, A92, A94, A96, BA1, BA2, BA3, BA4, BA5, BA8, BB2, BB3, BB4, BB7, BB9, BC4, BC6, BC7, BC9, BD1, BD2, BD3, BD4, BD5, BD6, BD7, BD8, BE5, BF6, B04, B09, B25, B38, B47, B59, B60, B61, B62, B65, B69, B72, B75, B77, B81, B83, B84, B85, B89, CA1, CA3, CA8, CD1, CD2, CD3, CD4, CD5, CF2, C22, C59, C78, C94, DA4, DA7, DA8, D01, D02, D03, D04, D05, D06, D07, D08, D09, D12, D13, D14, D15, D16, D18, EA7, EA8, E08, E10, E14, E15, E16, E19, E24, E25, E28, E32, E33, E36, E38, E39, E42, E46, E48, E54, E55, E57, E72, E75, E76, E77, E78, E79, E85, E86, E88, E89, E90, E96, E97, E98, F05, F07, F09, F11, F16, F18, F93, F96, H07, H13, H15, H17, H21, H23, H24, H25, H26, H27, H28, H30, H37, H42, H43, H44, H49, H50, H53, H55, H57, H58, H61, H66, H67, H79, H83, H85, H87, H89, H99, J00, J01, J02, J03, J04, J05, J06, J07, J08, J09, J10, J11, J12, J13, J14, J15, J16, J17, J18, J19, J20, J21, J22, J23, J24, J25, J26, J27, J28, J29, J30, J31, J32, J33, J34, J35, J36, J37, J38, J39, J40, J41, J42, J43, J44, J45, J46, J47, J48, J49, J50,J51,J52,J53,J54,J55,J56 J57, J83, J85, J86, J87, J88, J89, J98, K25, K26, K32, K61, K71, K72, K73, K74, K75, K76, K77, K78, K81, K88, K90, K91, K92, K93, K94, K95, K96, K97, K98, L00, L01, L02, L03, L04, L05, L06, L07, L08, L09, L10, L11, L12, L13, L14, L15, L16, L17, L22, L23, L24, L27, L31, L32, L33, L37, L38, L39, L40, L41, L42, L50, L51, L54, L56, L58, L59, L60, L61, L62, L63, L66, L67, L77, L78, L79, L80, L83, Z01, Z02, Z08, Z50, Z52, Z53, Z90, Z91