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Reason Code: U538Q

Error Description:

Services billed while beneficiary is unlawfully present in the United States.

Avoiding/Correcting This Error

Medicare does not pay for medical items/services furnished to an alien beneficiary who was not lawfully present in the United States on the date of service that the items/services were furnished.

Related Content

CMS IOM Publication 100-04, Medicare Claims Processing Manual, Chapter 1 - General Billing Requirements, Section 10.5 - Claims Processing Requirements for Deported Beneficiaries