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  • Denial Code 203: Explanation How to Address - MD Clarity
    The steps to address code 203, Discontinued or reduced service, are as follows: 1 Review the claim details: Carefully examine the claim to understand the specific service that has been discontinued or reduced
  • Denial Code 203 – Discontinued or reduced service
    Denial Code 203 – Discontinued or reduced service is a common code used by insurance companies to indicate that a claim has been denied because the service provided was either discontinued or reduced
  • Modifier 52 Fact Sheet - Novitas Solutions
    We, at Novitas, have seen claims reporting modifier 52 (reduced services) without supporting documentation or an explanation in the narrative of the claim In order to help you avoid claim denials and future appeals due to these incorrect submissions, we are providing guidance on how to properly submit a claim when applying this modifier
  • Common Reasons, Next Steps How To Avoid It - Coding Ahead
    Denial Code 203 means that a claim has been denied because the service has been discontinued or reduced Below you can find the description, common reasons for denial code 203, next steps, how to avoid it, and examples
  • Denial Code 203: To Reduce Claim Denials for Discontinued
    Proactive Strategies to Avoid Denial Code 203 Accurate Coding: Ensure CPT codes and modifiers accurately reflect the services provided Proper Modifier Usage: Apply modifiers 52 (reduced services) and 53 (discontinued procedures) correctly Detailed Documentation: Maintain thorough medical records to support clinical decisions
  • Modifiers 52 and 53 vs. 73 and 74 - AAPC Knowledge Center
    When coding and billing for a facility, the 52 modifier is used to indicate a partial reduction or discontinuation of radiology procedures or services that do not require anesthesia Modifiers 73 and 74 cannot be used to report facility services for discontinued radiology procedures that do not require anesthesia
  • Reimbursement Policy for Reduced Services and Discontinued Procedures . . .
    Under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional
  • Denial Reason Codes List 2025- Medical Billing RCM
    [Denial Code CO 97] – An insurance company may deny a claim stating that services inclusive in another service [Denial Code CO-18] – Some time claim billed twice or thrice to the insurance company so insurance company may deny the claim due to duplicity
  • Reduced and Discontinued Services | Providers | Blue Cross NC
    Providers and facilities indicate the reduction or partial elimination of services using Modifier 52 (reduced services) Providers indicate the procedure was started but discontinued using Modifier 53 (Discontinued Procedure)
  • Claim Adjustment Reason Codes 2025 – Latest CARC Codes List
    CARCs, also known as claim adjustment reason codes can indicate claim denial reasons such as incomplete or incorrect information, services not covered under the patient’s plan, or exceeded limits of coverage





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