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US · guidance

CMS Pub. 100-05, ch. 5, § 50.2.3

Return Codes

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

One of the following return codes indicates the results from processing secondary

payment computation and savings. These codes are also referenced in the technical

documentation released with the MSPPAY modules.

Return Code Description

3010 Claim is fully paid

3020 Claim is partially paid

3030 Line of service denied

3500 Invalid MSP value code

3510 Invalid number of other payers

3520 Non-numeric MSP amount

3530 MSP amount equals zeros

3540 Invalid record identification

3545 Non-numeric Gramm-Rudmann-Hollings percent

3550 Non-numeric total covered charges

3560 Non-numeric blood deductible

3570 Non-numeric cash deductible

3700 Non-numeric total coinsurance amount

3730 Non-numeric Medicare primary payment

3780 Non-numeric provider payment amount

3790 Non-numeric patient payment amount

3820 Non-numeric charges not subject to deductible and coinsurance

3830 Non-numeric charges subject to deductible

3850 Invalid from date of claim

3880 Invalid "thru-date" of claim

3900 Non-numeric Medicare payment amount

3910 Non-numeric obligated to accept

3580 Non-numeric regular coinsurance days 1st year

3590 Non-numeric regular coinsurance rate 1st year

3600 Non-numeric regular coinsurance amount 1st year

3610 Non-numeric regular coinsurance days 2nd year

3620 Non-numeric regular coinsurance rate 2nd year

3630 Non-numeric regular coinsurance amount 2nd year

3640 Non-numeric life-time reserve days 1st year

3650 Non-numeric life-time reserve rate 1st year

3660 Non-numeric life-time reserve amount 1st year

3670 Non-numeric life-time reserve days 2nd year

3680 Non-numeric life-time reserve rate 2nd year

3690 Non-numeric life-time reserve amount 2nd year

3710 Non-numeric full days

3720 Non-numeric covered days

3740 Invalid PPS indicator

3750 Non-numeric DRG amount

3760 Non-numeric direct graduate medical education

3770 Non-numeric pass thru per diem amount

3920 Non-numeric regular coinsurance days 3rd year

3930 Non-numeric regular coinsurance rate 3rd year

3940 Non-numeric regular coinsurance amount 3rd year

3950 Non-numeric regular coinsurance days 4th year

3960 Non-numeric regular coinsurance rate 4th year

3965 Non-numeric regular coinsurance amount 4th year

3985 Non-numeric regular coinsurance days 5th year

3990 Non-numeric regular coinsurance rate 5th year

4000 Non-numeric regular coinsurance amount 5th year

4010 Non-numeric regular coinsurance days 6th year

4020 Non-numeric regular coinsurance rate 6th year

4030 Non-numeric regular coinsurance amount 6th year

4040 Non-numeric life-time reserve days 3rd year

4050 Non-numeric life-time reserve rate 3rd year

4060 Non-numeric life-time reserve amount 3rd year

4070 Non-numeric life-time reserve days 4th year

4080 Non-numeric life-time reserve rate 4th year

4090 Non-numeric life-time reserve amount 4th year

4100 Non-numeric life-time reserve days 5th year

4110 Non-numeric life-time reserve rate 5th year

4120 Non-numeric life-time reserve amount 5th year

4130 Non-numeric life-time reserve days 6th year

4140 Non-numeric life-time reserve rate 6th year

4150 Non-numeric life-time reserve amount 6th year

4160 Non-numeric regular coinsurance days 7th year

4170 Non-numeric regular coinsurance rate 7th year

4180 Non-numeric regular coinsurance amount 7th year

4190 Non-numeric regular coinsurance days 8th year

4200 Non-numeric regular coinsurance rate 8th year

4210 Non-numeric regular coinsurance amount 8th year

4220 Non-numeric regular coinsurance days 9th year

4230 Non-numeric regular coinsurance rate 9th year

4240 Non-numeric regular coinsurance amount 9th year

4250 Non-numeric regular coinsurance days 10th year

4260 Non-numeric regular coinsurance rate 10th year

4270 Non-numeric regular coinsurance amount 10th year

4280 Non-numeric regular coinsurance days 11th year

4290 Non-numeric regular coinsurance rate 11th year

4300 Non-numeric regular coinsurance amount 11th year

4310 Non-numeric regular coinsurance days 12th year

4320 Non-numeric regular coinsurance rate 12th year

4330 Non-numeric regular coinsurance amount 12th year

4340 Non-numeric regular coinsurance days 13th year

4350 Non-numeric regular coinsurance rate 13th year

4360 Non-numeric regular coinsurance amount 13th year

4370 Non-numeric regular coinsurance days 14th year

4380 Non-numeric regular coinsurance rate 14th year

4390 Non-numeric regular coinsurance amount 14th year

4400 Non-numeric regular coinsurance days 15th year

4410 Non-numeric regular coinsurance rate 15th year

4420 Non-numeric regular coinsurance amount 15th year

4430 Non-numeric life-time reserve days 7th year

4440 Non-numeric life-time reserve rate 7th year

4450 Non-numeric life-time reserve amount 7th year

4460 Non-numeric life-time reserve days 8th year

4470 Non-numeric life-time reserve rate 8th year

4480 Non-numeric life-time reserve amount 8th year

4490 Non-numeric life-time reserve days 9th year

4500 Non-numeric life-time reserve rate 9th year

4510 Non-numeric life-time reserve amount 9th year

4520 Non-numeric life-time reserve days 10th year

4530 Non-numeric life-time reserve rate 10th year

4540 Non-numeric life-time reserve amount 10th year

4550 Non-numeric life-time reserve days 11th year

4560 Non-numeric life-time reserve rate 11th year

4570 Non-numeric life-time reserve amount 11th year

4580 Non-numeric life-time reserve days 12th year

4590 Non-numeric life-time reserve rate 12th year

4600 Non-numeric life-time reserve amount 12th year

4610 Non-numeric life-time reserve days 13th year

4620 Non-numeric life-time reserve rate 13th year

4630 Non-numeric life-time reserve amount 13th year

4640 Non-numeric life-time reserve days 14th year

4650 Non-numeric life-time reserve rate 14th year

4660 Non-numeric life-time reserve amount 14th year

4670 Non-numeric life-time reserve days 15th year

4680 Non-numeric life-time reserve rate 15th year

4690 Non-numeric life-time reserve amount 15th year

History

(Rev. 11550; Issued: 08-12-22; Effective: 10-13-22; Implementation:10-13-22)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
6fb8570c20372c2c4f572d145cd92065239d301ddb3bbdefcb2147a7ba52d88a
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CMS Pub. 100-05, ch. 5, § 50.2.3 — Return Codes · binding.law