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Reason Code Search and Resolution

Disclaimer: This is not a complete listing of reason codes. Other reason codes will be added.

This Reason Code Search and Resolution tool has been designed to aid Medicare providers in reviewing reason codes and how to resolve the edit or use them for determining if other action is needed. You may search this database by reason code or keyword. All records matching your search criteria will be returned for your review. If you are aware of a reason code not listed or a description and/or a resolution is not clear, please send your suggestion for reason code addition or update to J15_PARTA_Education@cgsadmin.com.

If you wish, you may also view the entire listing of reason codes, their descriptions, resolutions, and additional billing information by clicking on the "Show all Reason Codes" option.

Reason Code 37544

Description:

Provider submitted adjustment (XX7 or XXQ) indicates adjustment is due to changes in charges. Condition D1 is present and all charges on the adjustment bill equal the charges on the original claim. If D1 is present, covered charges must differ.

Resolution:

Verify information is keyed correctly. Correct keying errors and F9 or resubmit the claim.

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