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US · guidance

CMS Pub. 100-04, ch. 32, § 50.7

Remittance Advice Notice for Intermediaries

activein force · 2026-08-25 – presentas-observed

Use appropriate existing remittance advice reason and remark codes at the line level to express the specific reason if

you deny payment for DBS. If denying services as furnished before April 1, 2003, use existing ASC X 12-835 claim

adjustment reason code 26 "Expenses incurred prior to coverage" at the line level.

History

(Rev. 2998, Issued: 07-25-14, Effective: Upon implementation of ICD-10; 01-01-12 - ASC X12, Implementation: 08-25-2014 - ASC X12; Upon Implementation of ICD-10)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
a35c01bc0c267870a8377c26776068acbc2fbe041e752eae172d06855e883f66
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