MSN Messages (Rev. 298, 09-25-04)

by  Jared Staheli
June 26th, 2015

The following messages are used on the MSN.

If the claim is denied because the beneficiary is under 35 years of age, use the following MSN:

MSN 18.3:

Screening mammography is not covered for women under 35 years of age.

The Spanish version of this MSN message should read:

Las pruebas de mamografía para mujeres menores de 35 años no están cubiertas.

If the claim is denied for a woman 35-39 because she has previously received this examination, use the following MSN:

MSN 18.6:

A screening mammography is covered only once for women age 35-39.

The Spanish version of this MSN message should read:

Una mamografía de cernimiento es cubierta una vez solamente para mujeres entre las edades de 35-39.

If the claim is denied because the period of time between screenings for the woman based on age has not passed, use the following MSN:

MSN 18.4:

This service is being denied because it has not been 12 months since your last examination of this kind. (NOTE: Insert appropriate number of months.)

The Spanish version of this MSN message should read:

Esteservicio se denegódebido a que no hantranscurrido 12 mesesdesde su últimoexamen de estetipo.

If the claim is denied because the provider is not certified to perform this service (film mammography) or if the claim is denied because the provider is not certified to perform this service (digital mammography), use the following MSN:

MSN 16.2:

This service cannot be paid when provided in this location/facility.

The Spanish version of this MSN message should read:

Esteservicio no se puedepagarcuando es suministrado en estesitio/facilidad.

In addition to the above denial messages, the FI/carrier may add the following:

MSN 18.12:

Screening mammograms are covered annually for women 40 years of age and older.

The Spanish version of this MSN message should read:

El examen de mamografía de cernimiento se cubre una vez al año para mujeres de 40 años de edad o más.

For Carriers only:

For claims submitted with invalid or missing certification number, use the following MSN:

MSN 9.2:

This item or service was denied because information required to make payment was missing.

The Spanish version of this MSN message should read:

Esteartículo o serviciofuedenegadoporque la informaciónrequeridaparahacer el pagofueomitida.

References:

MSN Messages (Rev. 298, 09-25-04). (2015, June 26). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/msn-messages-rev-298-09-25-04-26948.html

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