NGS would like to reemphasize to providers that using adjustment reason code of “LN” to submit adjustment claims (xx7, xxQ), where changes were made to an LCD/NCD denied line or lines, is acceptable for the denial reason codes below, which includes the 59xxx series of NCD codes. Please review the below notice and cascade to the appropriate staff.
There are some situations that do not require an appeal. You may initiate an adjustment to a claim that has been partially denied by automated edits for NCDs or LCDs.
If a claim or line item has been denied without medical review, that is, no additional documentation request (ADR) was sent to you and no documentation was submitted, you may correct the claim through the regular electronic claim adjustment process.
Please Note:
National Government Services, Inc.
Appeals Department
P.O. Box 6474 | Indianapolis, IN 46206-6474
National Government Services, Inc.
Appeals Department
P.O. Box 7111 | Indianapolis, IN 46207-7111