Medicaid restriction codes

Medicaid restriction codes DEFAULT
  CODE  DESCRIPTION  0005  CLAIMS TO BE REPROCESSED IN ENVISION  0014  FCN NUMBER IS MISSING OR INVALID FOR VOID/ADJUSTMENT REQUEST  0025  SUBMITTED UNITS NOT CONSISTENT WITH DATES OF SERVICE  0028  BENEFICIARY FAMILY PLANNING COE BUT SERVICES ON THE CLAIM IDENTIFY PREGNANCY FOR THE BENEFICIARY  0029  SERVICE NOT FAMILY PLANNING RELATED  0032  CLAIM TYPE CANNOT BE ASSIGNED  0046  TOTAL REVENUE CHARGE "0001" LINE MISSING  0051  SUM OF ACCOMMODATION DAYS DOES NOT EQUAL TOTAL COVERED DAYS  0057  CAPITATION CLAIM BILLED & CLIENT ID IS NOT ENROLLED IN AN MCO  0058  PATIENT STATUS CONFLICTS WITH TYPE OF BILL  0059  CAPITATION CLAIM BILLED & CLIENT ID IS NOT ENROLLED IN AN CHIP M  0072  ACCOMMODATION REVENUE CODE IS MISSING  0075  SURG PROC CODE IS REQUIRED  0077  SERVICE DATES SPAN MORE THAN ONE DAY OF SERVICE  0092  MORE THAN 1 SERVICE LIMIT FOR SAME SERVICE  0104  EXACT DUPLICATE CLAIM  0105  SUSPECT DUPLICATE CLAIM  0106  SUSPECT DUPLICATE CLAIM - SUSPENSE  0107  SUSPECT DUPLICATE INPATIENT CLAIM (3-DAY WINDOW EDIT)  0108  SUSPECT DUPLICATE OUTPATIENT CLAIM (3 DAY WINDOW)  0110  DATE BUNDLING NOT ALLOWED  0111  DATE BUNDLING LIMIT EXCEEDED  0112  DATE OF SERVICE CANNOT SPAN ACROSS MONTHS  0113  ADMIT DATE/FROM DATE CONFLICT  0114  ADMIT SOURCE MISSING OR INVALID  0117  FIRST PROCEDURE CODE MODIFIER INVALID  0118  MEDICARE ALLOWED AMOUNT CONFLICT  0119  TOOTH SURFACE INVALID  0120  BILLING PROVIDER NUMBER IS MISSING  0121  MODIFIER 2 INVALID  0122  MODIFIER 3 INVALID  0123  MODIFIER 4 INVALID  0124  FROM DATE OF SERVICE IS MISSING  0125  LAB CLAIM FOR INPATIENT SERVICE-BILL HOSPITAL  0126  FIRST DATE OF SERVICE IS AFTER LAST DATE OF SERVICE  0127  LAST DATE OF SERVICE AFTER RECEIPT DATE  0129  BENEFICIARY ID IS MISSING OR INVALID  0130  BENEFICIARY DATE OF BIRTH IS MISSING OR INVALID  0132  SUBMITTED CHARGE IS MISSING  0135  CLAIM PRICED AT ZERO  0140  BENEFICIARY NOT FOUND - RECYCLE 21 DAYS  0142  BENEFICIARY NOT ELIGIBLE - RECYCLE  0143  BENEFICIARY NOT ELIGIBLE OR NOT FOUND  0147  ADMIT TYPE INVALID  0148  REVENUE CODE IS MISSING  0149  BENEFICIARY HAS PARTIAL ELIGIBILITY  0150  PLACE OF SERVICE IS MISSING OR INVALID  0155  LAST DATE OF SERVICE IS MISSING  0156  SIGNATURE/BILLED DATE IS GREATER THAN BATCH DATE  0157  LINE COUNT IS INVALID  0158  BILLING DATE IS BEFORE LAST DATE OF SERVICE  0159  EOB LINE IS INVALID  0160  TOTAL CLAIM CHARGE DOES NOT MATCH SUM OF LINE ITEM CHARGES  0161  SEQUENCE NUMBER INVALID  0162  LINE ITEM DATES OF SERVICE ARE OUTSIDE FROM DATES OF SERVICE  0163  LINE ITEM DATES OF SERVICE ARE OUTSIDE THRU DATES OF SERVICE  0164  CLAIM TYPE MATCHES A CLAIM TYPE IN PARAMETER LIST 4463 (USED TO SUPER-SUSPEND SPECIFIC CLAIM TYPES)  0165  ICD9 AND ICD10 SERVICE ON SAME CLAIM - MUST SPLIT BILL  0166  ICD9 SERVICES WITH DISCHARGE AFTER ICD10 CUTOVER  0167  ADMISSION DATE IS MISSING  0168  MEDICARE DENIED THE LINE  0169  MEDICARE ALLOWED AMOUNT IS ZERO  0172  PROCEDURE MISSING  0173  SPECFIC PHARMACY PROC CODES REQUIRES 0636 REV CODE  0174  TRAUMA TEAM ACTIVATION PROC MUST BE BILLED WITH 0681-0684 REV CODE  0175  HEADER LEVEL OVERRIDE LOCATION CODE INVALID  0177  VOID/ADJUSTMENT OF DENIED CLAIM  0178  DIAGNOSIS NOT EXEMPT/VALID POA REQUIRED  0179  HAC NEVER EVENT MOD PRESENT  0180  HAC NEVER EVENT DX PRESENT  0181  CLAIM REQUIRES MANUAL RE-PRICING THAT ARE BILLED FOR POA VALUE (N OR U) OR E CODES.  0182  COVERED/NONCOVERED DAYS MISSING OR INVALID DUE TO MISSING/INVALID VALUE CODE  0183  POA DIAG CODE BILLED WITH SURG CODE COMBINATION  0184  HOSPICE UNITS OF SERVICE IS INVALID  0185  HOSPICE SUBMITTED UNITS GREATER THAN TOTAL DAYS  0187  HEADER EOB INVALID  0188  PATIENT STATUS INVALID  0189  SUBMITTED UNITS OF SERVICE IS MISSING  0201  VOID/ADJUSTMENT TCN MISSING OR INVALID  0205  REFERRING PROVIDER REQUIRED  0206  NON-COVERED CHARGE CONFLICTING  0221  BENEFICIARY NAME MISMATCH  0230  PROVIDER IS NOT ALLOWED TO BILL FOR PROFESSIONAL OR TECHNICAL COMPONENT.  0238  SUBMITTED UNITS EXCEED MAXIMUM ALLOWED UNITS  0239  LINE SUBMITTED UNITS EXCEED MAXIMUM ALLOWED UNITS IN THE PROCEDURE FILE  0253  DIAGNOSIS NOT VALID FOR DATE OF SERVICE  0260  DIAGNOSIS CODE NOT SPECIFIC  0263  CROSSOVER CLAIM - NO MEDICARE ON FILE  0264  BENEFICIARY IS MEDICARE PART A ELIGIBILE - WITHOUT ATTACHMENT  0265  BENEFICIARY IS MEDICARE PART B ELIGIBLE - WITHOUT ATTACHMENT  0266  QMB BENEFICIARY IS ELIGIBLE FOR MCARE CROSSOVERS ONLY  0267  NET ENCOUNTER CLAIM-CATEGORY OF ELIGIBILITY NOT COVERED  0268  NET ENCOUNTER CLAIM-BENE IN CAN OR CHIP ON DOS  0270  DMERC CLAIM MUST BILL NATIONAL DRUG CODE (NDC)  0272  MEDICARE PART A AVAILABLE - NON XOVER CLAIM - EOB REQUIRES REVIEW  0273  MEDICARE PART B AVAILABLE - NON XOVER CLAIM - EOB REQUIRES REVIEW  0275  MAJOR PROGRAM - SERVICE CONFLICT  0280  PROCEDURE CODE REQUIRES REVIEW BY FISCAL AGENT STAFF. RESUBMIT CLAIM VIA WEB OR PAPER WITH DOCUMENTATION  0286  MEDICARE PAID DATE MISSING OR INVALID  0289  JUSTIFICATION OF MEDICAL NECESSITY REQUIRED  0297  DIAGNOSIS REQUIRES REVIEW BY FISCAL AGENT STAFF  0300  BILLING PROVIDER NOT ON FILE  0301  BILLING PROVIDER TYPE IS NOT FOUND FOR DATES OF SERVICE  0302  ATTENDING PROVIDER IS NOT ON FILE  0303  ATTENDING PROVIDER IS MISSING  0304  INVALID BATCH TYPE  0305  MEDICAID COVERED DAYS LESS THAN OR EQUAL TO INTERIM CLAIM THRESHOLD  0306  EYEGLASS OR DENTAL SERVICES NOT COVERED FOR BENEFICIARY  0307  LEGACY DENIED LINE ITEMS CONVERTED IN ERROR W/ALLOWED STATUS  0313  CATEGORY OF SERVICE CANNOT BE DETERMINED  0317  BENEFICIARY NOT ELIGIBLE FOR SERVICE  0320  CLIA CERTIFICATION DOES NOT COVER THIS PROCEDURE FOR THE DATES OF SERVICE  0325  TRAUMA/ACCIDENT CLAIM  0331  NO LTC SPAN AVAILABLE FOR FIRST DATE OF SERVICE (RECYCLE FOR 21 DAYS)  0332  DIAGNOSIS/RELATED DIAGNOSIS CODE MISSING  0333  NO LTC SPAN AVAILABLE FOR FIRST DATE OF SERVICE  0336  BILLING PROVIDER NOT AUTHORIZED BY LTC SPAN OR LOCKIN SPAN  0338  SERVICE NOT PAYABLE FOR LTC BENEFICIARY  0343  BILLING PROVIDER NOT AUTHORIZED FOR PROGRAM  0344  PROVIDER NOT AUTHORIZED TO RENDER SERVICE  0345  PROVIDER TYPE DPO WITH CLAIM TYPE N (LONG TERM CARE) REQUIRES A PA.  0346  PROVIDER IS NOT ALLOWED TO BILL OTHER THAN EYE GLASSES.  0347  REVENUE CODE CANNOT BE FOUND ON THE DATABASE  0351  HIGH VARIANCE  0352  LOW VARIANCE  0357  NO HOSPICE LOCKIN AVAILABLE FOR DATES OF SERVICE  0359  NDC BILLED WITHOUT HCPCS CODE  0360  PROVIDER HAS NO ACTIVE 340-B RECORD FOUND  0361  TOOTH/QUADRANT NUMBER REQUIRED  0362  TOOTH SURFACE REQUIRED  0363  PROCEDURE/MODIFIER 1 CONFLICTING  0364  PROCEDURE CODE/TOOTH NUMBER CONFLICT  0365  PROCEDURE/PLACE OF SERVICE CONFLICT  0366  PROCEDURE/SERVICING PROVIDER SPECIALITY MISMATCH  0367  PROCEDURE PROVIDER TYPE CONFLICT  0368  BILLING PROVIDER NOT ALLOWED TO BILL REVENUE CODE  0369  REVENUE CODE/BILLING PROVIDER SPECIALTY MISMATCH  0370  SERVICE EXCLUDED FOR PLAD/HM WAIVER  0371  PROCEDURE/MODIFIER 2 CONFLICTING  0372  PROCEDURE/CLAIM TYPE CONFLICTING  0373  REVENUE/TYPE OF BILL CONFLICT  0374  PROCEDURE/MODIFIER 3 CONFLICTING  0375  PROCEDURE/MODIFIER 4 CONFLICTING  0376  PROCEDURE REQUIRES MODIFIER  0377  THIS HCPCS CODE MUST BE BILLED WITH AN NDC  0378  CLAIM TABLE COUNTS GREATER THAN MAXIMUM  0379  SYSTEM ERROR (INTERNAL ERROR)  0380  INVALID DRG PERCENTAGE RATE  0381  RATE RECORD NOT FOUND  0382  REVENUE CODE REQUIRES REVIEW BY FISCAL AGENT  0383  PDX INVALID AS DISCHARG DX  0384  UNGROUPABLE DRG CODE  0385  VOID FAILED DURING SAVE PROCESS  0386  INVALID PARAM PCT/NUM/AMT/TYPE CODE FOR THE SYSTEM PARAMETER  0387  A PAID/DENIED CLAIM CANNOT BE VOIDED/ADJUSTED W/O REPLACED  0388  FQHC PROVIDER NOT ALLOWED TO BILL MEDICARE CROSSOVER  0389  INVALID FREQUENCY CODE  0390  RELATIVE WEIGHT NOT FOUND  0391  INVALID OUTLIER ELIGIBLE CODE  0395  SCHOOL BASED SERVICE INVALID FOR PROVIDER TYPE  0400  PROCEDURE CODES 92507 & 92508 BILLED BY PROVIDER TYPE OF T02 WHERE THE BENE IS < 21, REQUIRE A PA  0404  PAY TO PROVIDER CANNOT BE NET ENCOUNTER PROVIDER  0406  PROVIDER IS NOT ALLOWEED TO SUBMIT NON-CROSSOVER CLAIM- ONLY CROSSOVER CLAIMS ARE ALLOWED FOR THIS PROVIDER  0409  CHOW RNDR PROV NOT REVALIDATED ON ADJUD-RECYC 30 DAYS  0410  CHOW BLNG PROV NOT REVALIDATED ON ADJUD-RECYC 30 DAYS  0411  BILLING PROVIDER IS UNDER REVIEW  0412  SERVICING PROVIDER IS MISSING OR NOT ON FILE  0413  SERVICING PROVIDER IS UNDER REVIEW  0414  LTC NEW ADMIT WITHIN PROVIDER SANCTION PERIOD  0415  RGLR RNDR PROV NOT REVALIDATED ON ADJUD-RECYC 21 DAYS  0416  RGLR BLNG PROV NOT REVALIDATED ON ADJUD-RECYC 21 DAYS  0418  BILLING PROVIDER NOT ENROLLED ON DOS- RECYCLE 21 DAYS  0422  SERVICING PROVIDER NOT ENROLLED  0423  SERVICING PROVIDER NOT IN BILLING GROUP  0424  BILLING PROVIDER NOT ENROLLED ON DATES OF SERVICE  0425  PROVIDER IS NOT A VALID BILLING PROVIDER  0426  BILLING PROVIDER NPI IS MISSING OR INVALID  0427  SERVICING PROVIDER NPI IS MISSING OR INVALID  0428  SERVICES IN POS 21, 22, 23 NOT PAID TO FQHC/RHC PROVIDERS  0429  NPI/PROVIDER NUMBER MISMATCH  0430  PROCEDURE NOT ON DATA BASE  0431  PROCEDURE NOT COVERED  0432  PROCEDURE CODE REQUIRES REVIEW  0434  PROCEDURE/AGE CONFLICT  0435  PROCEDURE/GENDER CONFLICT  0436  AUTHORIZATION IS REQUIRED - PA# ON CLAIM IS MISSING OR INVALID  0437  PROCEDURE NOT VALID FOR SERVICE DATE  0438  PROCEDURE REQUIRES MANUAL PRICE  0439  PROCEDURE NOT A BENEFIT FOR SERVICE DATE  0441  PAY TO NPI/PROVIDER ID IS MISSING OR INVALID  0443  ORDERING/REFERRING PROVIDER NPI NOT ON FILE/ELIGIBILITY/LICENSE EXPIRED (RE-CYCLE FOR 90 DAYS)  0444  ORDERING/REFERRING PROVIDER NPI NOT ON FILE/ELIGIBILITY/LICENSE EXPIRED (90 DAY RE-CYCLE OF 0443 ELAPSED)  0445  ORDERING/REFERRING PROVIDER NPI IS MISSING  0446  SUBMITTED NPI NOT ALLOWED AS ORDERING/REFERRING PROVIDER  0447  ORP PROVIDER NOT VALID BILLING PROVIDER  0448  ORP PROVIDER NOT VALID SERVICING PROVIDER  0449  PROVIDER TYPE REQUIRES MODIFIER  0450  PROVIDER CANNOT BILL HW MODIFIER  0451  X00/X01 SHOULD HAVE THE SAME BILLING AND RENDERING PROVIDER TYPES.  0452  BILLING AND RENDERING PROVIDER TYPES SHOULD BE THE SAME.  0453  RENDERING PROVIDER TYPE REQUIRES U7 MODIFIER.  0454  RENDERING PROVIDER TYPE REQUIRES HA MODIFIER.  0455  REGULAR RNDR PROVIDER NOT REVALIDATED ON ADJUD DATE  0456  REGULAR BLNG PROVIDER NOT REVALIDATED ON ADJUD DATE  0457  CHOW BILLING PROVIDER NOT REVALIDATED ON ADJUD DATE  0458  CHOW RNDR PROVIDER NOT REVALIDATED ON ADJUD DATE  0459  BILLING PROVIDER TEMINATED ON DATES OF SERVICE  0460  RENDERING PROVIDER TEMINATED ON DATES OF SERVICE  0461  ORP ORDERING/REFERRING PROV IS TERMINATED ON CLAIM DOS  0501  AUTHORIZATION IS PENDING  0502  AUTHORIZATION/BENEFICIARY CONFLICT  0503  AUTHORIZATION IS DENIED  0504  AUTHORIZATION/MODIFIER CONFLICT  0510  AUTHORIZATION/PROVIDER CONFLICT  0511  AUTHORIZATION/SERVICE CONFLICT  0514  AUTHORIZATION LINE STATUS PENDING  0515  LTC ACCOMMODATION REVENUE CODE 0101 NOT BILLED/MISSING.  0518  AUTHORIZATION LINE STATUS DENIED  0536  REVENUE REQUIRES MANUAL PRICE  0541  REVENUE NOT A BENEFIT FOR SERV DATE  0544  REVENUE NOT VALID FOR DATES OF SERVICE  0545  REVENUE REQUIRES MANUAL REVIEW  0546  PROCEDURE REQUIRES PRICE  0547  REVENUE REQUIRES PRICE  0548  APC PROCEDURE CODE REQUIRES PRICE  0576  THE PROCECURE/REVENUE CODE CAN ONLY BE PRICED BASED ON THE PROCEDURE OR REVENUE  0582  DRG RECORD NOT ON FILE  0583  DRG INVALID PRINCIPAL DX  0584  NO DRG IN MDC FOR PRINCIPAL DIAGNOSIS  0585  DRG PRICING SPAN NOT FOUND  0586  DRG INVALID BIRTH WEIGHT  0587  DRG INVALID BENEFICIARY AGE  0588  DRG RELATIVE VALUE MISSING  0589  DRG INVALID BENEFICIARY GENDER  0590  DRG INVALID DISCHARGE STATUS  0591  DRG GESTATIONAL AGE/BIRTH WEIGHT CONFLICT  0592  DRG ILLOGICAL PRINCIPAL DIAGNOSIS  0593  DRG INVALID PRINCIPAL DIAGNOSIS  0596  DIAGNOSIS RELATED CODE INVALID  0605  AUTHORIZATION/SERVICE DATE CONFLICT  0608  AUTHORIZATION/TOOTH NUMBER CONFLICT  0609  AUTHORIZATION/TOOTH SURFACE CONFLICT  0610  EOB REQUIRES REVIEW OR IS MISSING OR INVALID  0611  MCARE DED/BLOOD DED/COINS/PAID/ALLOW/COPAY/SEQUESTRATION AMT < 0  0612  AWAITING APPROPRIATE STERILIZATION, HYSTERECTOMY OR ABORTION FORM  0617  AUTHORIZED LINE ITEM UNITS/AMOUNT INSUFFICIENT  0630  EXACT DUP CLAIM- ELEC XOVER VS ELEC XOVER  0631  VACC/ADM CODE BILLED WITHOUT PROVIDER TYPE EVO OR WITHOUT EP MODIFIER  0632  90472 MUST BE BILLED WITH 2 VACCINE CODES  0633  BILLING AND SERVICING PROVIDER MUST BE THE SAME  0634  CLAIMS MERGE IS DONE AND CLIENT MERGE IS DUE  0635  EXCLUDED MENTAL HEALTH SERVICES CANNOT BE BILLED FOR BENEFICIARY IN SED LOCK-IN  0636  MYPAC- CLAIM MONITORING  0637  RELATED CAUSE VALUE INVALID (ASSOCIATED WITH EMPL, ACCI, OTHR CHECKBOXES)  0638  ACCIDENT DATE INVALID  0673  CONSENT NOT APPROVED - STERILIZATION, ABORTION AND HYSTERECTOMY  0674  CLAIM PENDED FOR MEDICAL REVIEW  0675  0675 - VALID CONSENT FORM MUST BE ON FILE OR MEDICAL DOCUMENTATION IS REQUIRED FOR PROCESSING CLAIM.  0701  DME BILLED LINE ITEM CHARGES ARE OVER THE SPECIFIED LIMIT  0702  DATE OF SERVICE IS BEFORE DATE OF BIRTH  0703  BENEFICIARY MUST BE MEDICARE/MEDICAID DUALLY ELIGIBLE  0704  MEDICAL DIAGNOSIS REQUIRED  0707  PROCEDURE NOT PREGNANCY-RELATED  0708  REVIEW PHYSICIAN STATEMENT FOR SERVICE MODIFIER  0709  PROCEDURE NOT VALID FOR PROVIDER TYPE. THIS PROVIDER IS NOT AUTHORIZED TO BILL FOR THE PROCEDURE ON THE CLAIM.  0710  GROUND AMBULANCE SERVICE REQUIRES ATTACHMENT  0713  INPATIENT ADMISSION LESS THAN 24 HOURS, REBILL AS OUTPATIENT  0718  NO DEDUCTIBLE, COINSURANCE OR COPAY ON CROSSOVER CLAIM  0719  MEDICARE PAYMENT DATE BEFORE LAST DATE OF SERVICE OR AFTER BATCH DATE  0720  PT/OT/ST SERVICES REQUIRE PA  0721  SERVICING PROVIDER NOT ENROLLED ON DOS - RECYCLE 21 DAYS  0722  REVENUE CODE REQUIRES REVIEW BY DOM  0723  THE SUM OF THE MEDICARE DEDUCTIBLE PLUS THE COINSURANCE IS GREATER THAN THE MEDICARE ALLOWED AMOUNT  0724  SERVICING PROVIDER NOT ALLOWED TO PROVIDE TREATMENT  0725  OUT OF STATE BILLING REQUIRES REVIEW  0727  PRIOR AUTHORIZATION # ON CLAIM BUT NOT ON FILE  0728  DIAGNOSIS CODE REQUIRES REVIEW BY DOM  0729  PROCEDURE CODE REQUIRES REVIEW BY DOM  0730  SURGERY PROCEDURE CODE REQUIRES REVIEW BY DOM  0731  ITEM NOT COVERED FOR AMBULANCE  0750  TPL-BENEFICIARY HAS PRIMARY INSURANCE COVERAGE - RESUBMIT WITH TPL EOB  0753  RECIPIENT IS MEDICARE PART B ELIGIBLE-ATTACHMENT PRESENT  0754  RECIPIENT IS MEDICARE PART A ELIGIBLE - ATTACHMENT PRESENT.  0756  TPL-PAYMENT IS LESS THAN THE PERCENTAGE SPECIFIED ON SYSTEM PARAMETER 4025  0757  TPL-INDICATED ON CLAIM FORM - NO RESOURCE ON FILE  0758  NDC BILLED ON CLAIM IS INVALID  0759  DESI 1, 5 AND 6 OR COD VALUE 5 OR 6 CANNOT BE BILLED WITH HCPCS CODE  0760  NDC BILLED WITH HCPCS CODE MUST BE FOR REBATEABLE DRUG  0770  TPL-PAY AND REPORT COST AVOIDANCE STATUS  0771  TPL-PAY/REPORT COST AVOID, TPL $ ON CLAIM, SEND INQUIRY  0772  TPL-PAY/REPORT COST AVOID, TPL $ AND TPL ATTACHMENT ON CLAIM, SEND INQUIRY  0773  TPL-INQUIRY TPL - DENY THE CLAIM  0774  PRE-OPERATIVE VISIT INCLUDED IN GLOBAL SURGICAL PACKAGE  0775  TPL-PAY/REPORT TPL ATTACHMENT  0776  TPL-PAY & CHASE FOR EPSDT  0777  TPL-PAY & CHASE - ABSENT PARENT  0778  TPL PAY AND CHASE FOR PRENATAL  0779  TPL-PAY AND CHASE, REPORT ATTACHMENT(EPSDT)  0780  TPL-PAY AND CHASE REPORT ATTACHMENT(ABSENT PARENT)  0781  PRENATAL/MATERNITY CODES WITH OUT TPL AMOUNT  0800  APR-DRG GROUPER GLOBAL ERROR  0801  HAC CODE IS NOT PRESENT ON THE CLAIM  0802  HAC IS PRESENT RE-PRICE THE CLAIM WITH POST HAC DRG  0803  HAC IS PRESENT BUT NO CHANGE IN PRICING  0804  MORE THAN ONE HAC CATEGORY CODES ARE RETURNED FOR A CLAIM  0805  ICD9 NOT A VALID DIAG CODE WHEN THE CLAIM IS ON OR AFTER ICD10 CUTOVER DATE.  0822  INVALID DISCHARGE AGE IN DAYS  0823  TPL AMOUNT IS INVALID  0824  PROCEDURE NOT COVERED FOR CHIROPRACTOR  0825  NET CLAIM CHARGE CONFLICT  0834  NET CLAIM CHARGE CONFLICT - CROSSOVERS  0837  NET CLAIM CHARGE CONFLICT - HMO TPL COVERAGE  0840  VOID OR ADJUSTMENT IS IN PROCESS  0842  BENEFICIARY ID MATCH NOT FOUND  0843  BILLING PROVIDER MATCH NOT FOUND  0845  CLAIM ALREADY VOID OR ADJUSTED  0850  VOID/ADJUSTED CLAIM NOT FOUND  0853  FINANCIAL TRANSACTION CANNOT BE VOIDED OR ADJUSTED  0854  1ST CYCLE MASS ADJUSTMENT  0855  1ST CYCLE SPECIAL BATCH  0856  VOID/CREDIT CANNOT BE ADJUSTED  0857  CLAIM BATCH NUMBER IS FOR MSCAN PAY TO PROVIDER  0868  TOOTH/QUADRANT NUMBER INVALID  0870  TYPE OF BILL IS MISSING OR INVALID  0888  THE FACTOR MODE INDICATES USE OF PA PRICING BUT THERE IS NO PA ON FILE OR THE PA PRICE = $0.00  0891  BASE RATE CHANGE REASONS EXCEEDED  0892  ON-SIZE ERROR  0899  MAXIMUM NUMBER OF EXCEPTIONS EXCEEDED  1000  AN ANESTHESIA CPT CODE MUST BE BILLED WITH MODIFIER AA, QX OR QZ  1001  PROVIDER MUST BILL ONLY 1 UNITS ON A BILATERAL PROCEDURE  1002  A SURGERY PROCEDURE CODE CAN ONLY BE BILLED ONCE PER DATE OF SERVICE UNLESS IDENTIFIED ON SYSTEM LIST 4003  1003  NOT BILATERAL CODE-NO MODIFIER 50  1004  MULTIPLE SURGERY APPLIES-MODIFIER 51 REQUIRED  1005  CANNOT BILL THE SAME BI-LATERAL PROCEDURE MORE THAN ONCE ON THE SAM E DOS  1010  ANESTHESIA CLAIMS SUBMITTED PRIOR TO 10-1-03 REQUIRE MANUAL PRICING  1015  CLAIM ADJUSTMENT SEGMENT ERROR  1100  NEWBORN - PEND FOR BENEFICIARY ELIGIBILITY  1101  HOME HEALTH SERVICE NOT COVERED FOR NURSING FACILITY BENEFICIARY  1102  PROVIDER NOT AUTHORIZED FOR BHM (BENEFICIARY HEALTH MANAGEMENT) BENEFICIARY  1103  SERVICE MODIFIER FOUND - CLAIM MUST BE MANUALLY PRICED  1104  BENEFICIARY IS UNDER REVIEW FOR FRAUD CONVICTION  1105  BENEFICIARY IS UNDER REVIEW FOR FRAUD INVESTIGATION  1106  HEALTHMACS MUST BE MAN PRICED  1107  CROSSOVER CLAIM MEDICAID PROVIDER NUMBER NOT FOUND ON PROVIDER DATABASE - RECYCLE FOR 21 DAYS  1108  CROSSOVER CLAIM MEDICAID PROVIDER NUMBER NOT FOUND ON PROVIDER DATABASE  1109  THE BENEFICIARY FOR WHICH THIS CLAIM IS SUBMITTED IS COVERED UNDER MISSISSIPPICAN. CLAIM SHOULD BE SUBMITTED TO THE BENEFICIARY'S ASSIGNED CCO FOR PAYMENT.  1110  ROUTINE CIRCUMCISION IS NOT COVERED  1111  THE BENEFICIARY FOR WHICH THIS CLAIM IS SUBMITTED IS COVERED UNDER MISSISSIPPICHIP. CLAIM SHOULD BE SUBMITTED TO THE BENEFICIARY'S ASSIGNED CCO FOR PAYMENT.  1112  PEDIATRIC LTC BENE AGE AND PROV ID CONFLICT  1113  PROVIDER NOT AUTHORIZED TO BILL SE MODIFIER  1114  BENEFICIARY NOT ENROLLED IN B2I OR B2P  1115  MISMATCH BETWEEN PROVIDER/BENEFICIARY/PROCEDURE CODE/MODIFIER  1116  B2I PROC CODE REQUIRES MANUAL PRICING (RECYCLE)  1117  PROCEDURE/MODIFIER CODE NOT VALID FOR B2P BENEFICIARY  1118  PROCEDURE CODE NOT MANUALLY PRICED WITHIN ALLOTTED TIME  1124  BILLNG & RENDRING PROVIDER TYPE CONFLICT FOR LTC BENEFICIARY.  1125  BENE AGE AND PROVIDER TYPE CONFLICT  1126  SERVICES NOT COVERED FOR BENE AGE > 21 FOR PROV TYPE X08  1127  BENEFICIARY NOT ENROLLED IN CTS OR CTP  1128  ACCIDENT DATE AFTER LAST DATE OF SERVICE  1129  PROCEDURE/MODIFIER CODE NOT VALID FOR CTP BENEFICIARY  1130  MISMATCH BETWEEN CTS PROVIDER/BENEFICIARY/PROCEDURE CODE/MODIFIER  1131  PROVIDER NOT AUTHORIZED TO BILL FOR CST SERVICE  1132  CTS PROC CODE REQUIRES MANUAL PRICING (RECYCLE)  1133  PROCEDURE CODE NOT MANUALLY PRICED WITHIN ALLOTTED TIME  1134  DAILY UNITS OR MAX ALLOWABLE UNITS ARE EXHAUSTED FOR CTP SERVICES  1135  INVALID ADJUSTMENT REASON CODE  1136  DAILY UNITS ARE EXCEEDED OR ALLOWABLE UNITS HAVE BEEN EXHAUSTED FOR CTS SERVICES  1137  INDEPENDENT LIVING & TBI/SCI WAIVER PROVIDERS REQUIRE MANUAL PRICING (RECYCLE FOR 21 DAYS)  1138  INDEPENDENT LIVING & TBI/SCI WAIVER PROVIDERS REQUIRE MANUAL PRICING  1139  PROCEDURE/MODIFIER SUBMITTED OUSIDE ELECTRONIC VISIT VERIFICATION SYSTEM (MEDIKEY)  1186  ADMIT HOUR MISSING OR INVALID  1211  MEDICARE DEDUCTIBLE GREATER YEARLY AMOUNT  1212  REVENUE CODE 0169 CONFLICTING  1213  NO MEDICARE ADVANTAGE PLAN ID  1214  MCARE SEQUESTRATION REDUCTION AMOUNT IS NOT VALID  1215  MCARE PAID AMOUNT MUST BE >0 WHEN COPAY/COINS >0  1216  NO MCARE PART A/PART B ELIGIBILITY  1234  PATIENT STATUS CODE IS EXPIRED/DOD NOT ON FILE-RECYCLE 21 DAYS  1235  DOD NOT ON FILE HOSPICE SIA NOT APPLIED  1253  CLAIM DATE OF SERVICE AND BENEFICIARY DATE OF DEATH CONFLICT  1255  BENEFICIARY OVER 65 BILL MEDICARE  1274  PATIENT STATUS AND BENEFICIARY DATE OF DEATH CONFLICT  1295  FUTURE EDIT  1325  BENEFICIARY STOP PAYMENT INDICATOR IS SET FOR THE CLAIM DOS  1326  BENEFICIARY SERVICE MOD/COE SPAN/ CLAIM DOS OR PROC CD CONFLICT  1327  SERVICE NOT COVERED - PUBLIC INSTITUTION MODIFIER IN PLACE  1328  LTC CAP LIMIT SPAN DOS  1347  BILLING PROVIDER IS INVALID  1348  SERVICING PROVIDER IS INVALID  1350  MANUAL PRICE IS GREATER THAN THE SUBMITTED CHARGE  1351  TOTAL CHARGES EXCEED THRESHOLD AMOUNT  1355  UNIQUE SERVICING PROVIDER REQUIRED FOR GROUP BILLING  1377  CALCULATED ALLOWED CHARGE TOO LARGE  1396  CLAIM SPANS STATE FISCAL YEAR  1420  INDEPENDENT LABORATORY MUST BILL  1447  DRG INTERIM BILLS DENIED  1470  RADIOLOGY PROC/REV CNFL  1471  SURGERY PROCEDURE/REVENUE CONFLICT  1480  1ST VALUE CODE/AMOUNT MISSING  1481  1ST VALUE CODE INVALID  1482  2ND VALUE CODE/AMOUNT MISSING  1483  2ND VALUE CODE INVALID  1484  3RD VALUE CODE/AMOUNT MISSING  1485  3RD VALUE CODE INVALID  1486  4TH VALUE CODE/AMOUNT MISSING  1487  4TH VALUE CODE INVALID  1488  5TH VALUE CODE/AMOUNT MISSING  1489  5TH VALUE CODE INVALID  1490  6TH VALUE CODE/AMOUNT MISSING  1491  6TH VALUE CODE INVALID  1492  7TH VALUE CODE/AMOUNT MISSING  1493  7TH VALUE CODE INVALID  1494  8TH VALUE CODE/AMOUNT MISSING  1495  8TH VALUE CODE INVALID  1496  9TH VALUE CODE/AMOUNT MISSING  1497  9TH VALUE CODE INVALID  1498  10TH VALUE CODE/AMOUNT MISSING  1499  10TH VALUE CODE INVALID  1500  11TH VALUE CODE/AMOUNT MISSING  1501  11TH VALUE CODE INVALID  1502  12TH VALUE CODE/AMOUNT MISSING  1503  12TH VALUE CODE INVALID  1504  13TH VALUE CODE/AMOUNT MISSING  1505  13TH VALUE CODE INVALID  1506  14TH VALUE CODE/AMOUNT MISSING  1507  14TH VALUE CODE INVALID  1508  15TH VALUE CODE/AMOUNT MISSING  1509  15TH VALUE CODE INVALID  1510  16TH VALUE CODE/AMOUNT MISSING  1511  16TH VALUE CODE INVALID  1512  17TH VALUE CODE/AMOUNT MISSING  1513  17TH VALUE CODE INVALID  1514  18TH VALUE CODE/AMOUNT MISSING  1515  18TH VALUE CODE INVALID  1516  19TH VALUE CODE/AMOUNT MISSING  1517  19TH VALUE CODE INVALID  1518  20TH VALUE CODE/AMOUNT MISSING  1519  20TH VALUE CODE INVALID  1520  21ST VALUE CODE/AMOUNT MISSING  1521  21ST VALUE CODE INVALID  1522  22ND VALUE CODE/AMOUNT MISSING  1523  22ND VALUE CODE INVALID  1524  23RD VALUE CODE/AMOUNT MISSING  1525  23RD VALUE CODE INVALID  1526  24TH VALUE CODE/AMOUNT MISSING  1527  24TH VALUE CODE INVALID  1540  PRORATE PRICING APPLIED  1550  1ST CONDITION CODE INVALID  1551  2ND CONDITION CODE INVALID  1552  3RD CONDITION CODE INVALID  1553  4TH CONDITION CODE INVALID  1554  5TH CONDITION CODE INVALID  1555  6TH CONDITION CODE INVALID  1556  7TH CONDITION CODE INVALID  1557  8TH CONDITION CODE INVALID  1558  9TH CONDITION CODE INVALID  1559  10TH CONDITION CODE INVALID  1560  11TH CONDITION CODE INVALID  1561  12TH CONDITION CODE INVALID  1562  13TH CONDITION CODE INVALID  1563  14TH CONDITION CODE INVALID  1564  15TH CONDITION CODE INVALID  1565  16TH CONDITION CODE INVALID  1566  17TH CONDITION CODE INVALID  1567  18TH CONDITION CODE INVALID  1568  19TH CONDITION CODE INVALID  1569  20TH CONDITION CODE INVALID  1570  21ST CONDITION CODE INVALID  1571  22ND CONDITION CODE INVALID  1572  23RD CONDITION CODE INVALID  1573  24TH CONDITION CODE INVALID  1601  NEGATIVE CALCULATED ALLOWED AMOUNT  1602  SUBMITTED AMOUNT EXCEEDS MATRIX THRESHOLD  1700  WHEN BILLING LABORATORY SERVICES, THE PROVIDER MUST ENTER THE 4 DIGIT REVENUE CODE AND THE 5 DIGIT HCPCS PROCEDURE CODE.  1701  REVENUE CODE MUST BE LABORATORY  1702  SURGICAL CODE NOT WITHIN FROM/THRU DATES  1710  PROVIDER MISSING CLIA NUMBER FOR LAB SERVICE  1711  PRINCIPAL DIAG NOT ON DB  1712  PRINCIPAL DIAG NOT COVERED  1713  PRINCIPAL DIAGNOSIS/AGE CONFLICT  1714  PRINCIPAL DIAGNOSIS/GENDER CONFLICT  1715  ADMITTING DIAGNOSIS NOT ON DB  1716  ADMITTING DIAGNOSIS NOT COVERED  1717  ADMITTING DIAGNOSIS/AGE CONFLICT  1718  ADMITTING DIAGNOSIS/GENDER CONFLICT  1719  1ST DIAGNOSIS NOT ON DB  1720  1ST DIAGNOSIS NOT COVERED  1721  1ST DIAGNOSIS/AGE CONFLICT  1722  1ST DIAGNOSIS/GENDER CONFLICT  1723  2ND DIAGNOSIS NOT ON DB  1724  2ND DIAGNOSIS NOT COVERED  1725  2ND DIAGNOSIS/AGE CONFLICT  1726  2ND DIAGNOSIS/GENDER CONFLICT  1727  3RD DIAGNOSIS NOT ON DB  1728  3RD DIAGNOSIS NOT COVERED  1729  3RD DIAGNOSIS/AGE CONFLICT  1730  3RD DIAGNOSIS/GENDER CONFLICT  1731  4TH DIAGNOSIS NOT ON DB  1732  4TH DIAGNOSIS NOT COVERED  1733  4TH DIAGNOSIS/AGE CONFLICT  1734  4TH DIAGNOSIS/GENDER CONFLICT  1735  5TH DIAGNOSIS NOT ON DB  1736  5TH DIAGNOSIS NOT COVERED  1737  5TH DIAGNOSIS/AGE CONFLICT  1738  5TH DIAGNOSIS/GENDER CONFLICT  1739  6TH DIAGNOSIS NOT ON DB  1740  6TH DIAGNOSIS NOT COVERED  1741  6TH DIAGNOSIS/AGE CONFLICT  1742  6TH DIAGNOSIS/GENDER CONFLICT  1743  7TH DIAGNOSIS NOT ON DB  1744  7TH DIAGNOSIS NOT COVERED  1745  7TH DIAGNOSIS/AGE CONFLICT  1746  7TH DIAGNOSIS/GENDER CONFLICT  1747  8TH DIAGNOSIS NOT ON DB  1748  8TH DIAGNOSIS NOT COVERED  1749  8TH DIAGNOSIS/AGE CONFLICT  1750  8TH DIAGNOSIS/GENDER CONFLICT  1751  9TH DIAGNOSIS NOT ON DB  1752  9TH DIAGNOSIS NOT COVERED  1753  9TH DIAGNOSIS/AGE CONFLICT  1754  9TH DIAGNOSIS/GENDER CONFLICT  1755  10TH DIAGNOSIS NOT ON DB  1756  10TH DIAGNOSIS NOT COVERED  1757  10TH DIAGNOSIS/AGE CONFLICT  1758  10TH DIAGNOSIS/GENDER CONFLICT  1759  11TH DIAGNOSIS NOT ON DB  1760  11TH DIAGNOSIS NOT COVERED  1761  11TH DIAGNOSIS/AGE CONFLICT  1762  11TH DIAGNOSIS/GENDER CONFLICT  1763  12TH DIAGNOSIS NOT ON DB  1764  12TH DIAGNOSIS NOT COVERED  1765  12TH DIAGNOSIS/AGE CONFLICT  1766  12TH DIAGNOSIS/GENDER CONFLICT  1767  13TH DIAGNOSIS NOT ON DB  1768  13TH DIAGNOSIS NOT COVERED  1769  13TH DIAGNOSIS/AGE CONFLICT  1770  13TH DIAGNOSIS/GENDER CONFLICT  1771  14TH DIAGNOSIS NOT ON DB  1772  14TH DIAGNOSIS NOT COVERED  1773  14TH DIAGNOSIS/AGE CONFLICT  1774  14TH DIAGNOSIS/GENDER CONFLICT  1775  15TH DIAGNOSIS NOT ON DB  1776  15TH DIAGNOSIS NOT COVERED  1777  15TH DIAGNOSIS/AGE CONFLICT  1778  15TH DIAGNOSIS/GENDER CONFLICT  1779  16TH DIAGNOSIS NOT ON DB  1780  16TH DIAGNOSIS NOT COVERED  1781  16TH DIAGNOSIS/AGE CONFLICT  1782  16TH DIAGNOSIS/GENDER CONFLICT  1783  17TH DIAGNOSIS NOT ON DB  1784  17TH DIAGNOSIS NOT COVERED  1785  17TH DIAGNOSIS/AGE CONFLICT  1786  17TH DIAGNOSIS/GENDER CONFLICT  1787  18TH DIAGNOSIS NOT ON DB  1788  18TH DIAGNOSIS NOT COVERED  1789  18TH DIAGNOSIS/AGE CONFLICT  1790  18TH DIAGNOSIS/GENDER CONFLICT  1791  19TH DIAGNOSIS NOT ON DB  1792  19TH DIAGNOSIS NOT COVERED  1793  19TH DIAGNOSIS/AGE CONFLICT  1794  19TH DIAGNOSIS/GENDER CONFLICT  1795  20TH DIAGNOSIS NOT ON DB  1796  20TH DIAGNOSIS NOT COVERED  1797  20TH DIAGNOSIS/AGE CONFLICT  1798  21ST DIAGNOSIS/GENDER CONFLICT  1799  21ST DIAGNOSIS NOT ON DB  1800  21ST DIAGNOSIS NOT COVERED  1801  21ST DIAGNOSIS/AGE CONFLICT  1802  21ST DIAGNOSIS/GENDER CONFLICT  1803  22ND DIAGNOSIS NOT ON DB  1804  22ND DIAGNOSIS NOT COVERED  1805  22ND DIAGNOSIS/AGE CONFLICT  1806  22ND DIAGNOSIS/GENDER CONFLICT  1807  23RD DIAGNOSIS NOT ON DB  1808  23RD DIAGNOSIS NOT COVERED  1809  23RD DIAGNOSIS/AGE CONFLICT  1810  23RD DIAGNOSIS/GENDER CONFLICT  1811  24TH DIAGNOSIS NOT ON DB  1812  24TH DIAGNOSIS NOT COVERED  1813  24TH DIAGNOSIS/AGE CONFLICT  1814  24TH DIAGNOSIS/GENDER CONFLICT  1815  PRINCIPAL SURGICAL PROCEDURE CODE/GENDER CNFL  1816  PRINCIPAL SURGICAL PROCEDURE NOT ON DB  1817  PRINCIPAL SURGICAL PROCEDURE NOT COVERED  1818  PRINCIPAL SURGICAL PROCEDURE CODE/DATE MISSING OR INVALID  1819  1ST SURGICAL PROCEDURE/GENDER CONFLICT  1820  1ST SURGICAL PROCEDURE NOT ON DB  1821  1ST SURGICAL PROCEDURE NOT COVERED  1822  1ST SURGICAL PROCEDURE CODE/DATE MISSING OR INVALID  1823  2ND SURGICAL PROCEDURE/GENDER CONFLICT  1824  2ND SURGICAL PROCEDURE NOT ON DB  1825  2ND SURGICAL PROCEDURE NOT COVERED  1826  2ND SURGICAL PROCEDURE CODE/DATE MISSING OR INVALID  1827  3RD SURGICAL PROCEDURE/GENDER CONFLICT  1828  3RD SURGICAL PROCEDURE NOT ON DB  1829  3RD SURGICAL PROCEDURE NOT COVERED  1830  3RD SURGICAL PROCEDURE CODE/DATE MISSING OR INVALID  1831  4TH SURGICAL PROCEDURE/GENDER CONFLICT  1832  4TH SURGICAL PROCEDURE NOT ON DB  1833  4TH SURGICAL PROCEDURE NOT COVERED  1834  4TH SURGICAL PROCEDURE CODE/DATE MISSING OR INVALID  1835  5TH SURGICAL PROCEDURE/GENDER CONFLICT  1836  5TH SURGICAL PROCEDURE NOT ON DB  1837  5TH SURGICAL PROCEDURE NOT COVERED  1838  5TH SURGICAL PROCEDURE CODE/DATE MISSING OR INVALID  1839  6TH SURGICAL PROCEDURE/GENDER CONFLICT  1840  6TH SURGICAL PROCEDURE NOT ON DB  1841  6TH SURGICAL PROCEDURE NOT COVERED  1842  6TH SURGICAL PROCEDURE CODE/DATE MISSING OR INVALID  1843  7TH SURGICAL PROCEDURE/GENDER CONFLICT  1844  7TH SURGICAL PROCEDURE NOT ON DB  1845  7TH SURGICAL PROCEDURE NOT COVERED  1846  7TH SURGICAL PROCEDURE CODE/DATE MISSING OR INVALID  1847  8TH SURGICAL PROCEDURE/GENDER CONFLICT  1848  8TH SURGICAL PROCEDURE NOT ON DB  1849  8TH SURGICAL PROCEDURE NOT COVERED  1850  8TH SURGICAL PROCEDURE CODE/DATE MISSING OR INVALID  1851  9TH SURGICAL PROCEDURE/GENDER CONFLICT  1852  9TH SURGICAL PROCEDURE NOT ON DB  1853  9TH ICD9 SURGICAL PROCEDURE NOT COVERED  1854  9TH ICD9 SURGICAL PROCEDURE ???  1855  10TH ICD9 SURGICAL PROCEDURE/GENDER CONFLICT  1856  10TH ICD9 SURGICAL PROCEDURE NOT ON DATABASE  1857  10TH ICD9 SURGICAL PROCEDURE NOT COVERED  1858  10TH ICD9 SURGICAL PROCEDURE ???  1859  11TH SURGICAL PROCEDURE/GENDER CONFLICT  1860  11TH SURGICAL PROCEDURE NOT ON DB  1861  11TH SURGICAL PROCEDURE NOT COVERED  1862  11TH SURGICAL PROCEDURE CODE/DATE MISSING OR INVALID  1863  12TH SURGICAL PROCEDURE/GENDER CONFLICT  1864  12TH SURGICAL PROCEDURE NOT ON DB  1865  12TH SURGICAL PROCEDURE NOT COVERED  1866  12TH SURGICAL PROCEDURE CODE/DATE MISSING OR INVALID  1867  13TH SURGICAL PROCEDURE/GENDER CONFLICT  1868  13TH SURGICAL PROCEDURE NOT ON DB  1869  13TH SURGICAL PROCEDURE NOT COVERED  1870  13TH SURGICAL PROCEDURE CODE/DATE MISSING OR INVALID
Sours: https://www.ms-medicaid.com/msenvision/editCodes.do

Restriction Program

Medicaid members may be referred to and enrolled in the Restriction Program. This program provides safeguards against inappropriate and excessive use of Medicaid services.

Restriction staff uses the guidelines below to determine if a member should be in the Restriction Program. Meeting one or more of the following criteria over a 12-month period may mean that a member is misusing Medicaid covered services.

  • Four or more Primary Care Providers (PCPs), non-affiliated, in a maximum of 12 eligible months, and/or four or more specialists seen outside a normal range of utilization
  • Four or more pharmacies in a maximum of 12 eligible months
  • Three or more providers (non-affiliated) prescribing abuse potential medications
  • Six or more prescriptions filled for abuse potential medications
  • Five or more non-emergent ED visits in 12 months

Patients selected for enrollment are informed of the reasons for the issuance of a Restriction Program card.  They are then restricted to one Primary Care Provider and one pharmacy. For patients in the Restriction Program, Medicaid will only pay claims for services rendered by the providers listed on the card and by providers to whom the patient has been appropriately referred. However, emergency services are not restricted.

For more information please contact us:

Local: 801-538-9045
Toll Free: 1-800-662-9651 #900
Fax: 801-536-0146
Email: [email protected]

Sours: https://medicaid.utah.gov/restriction-program/
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The burden was clearly heavy, all three were out of breath - and even Elena Igorevna wriggled with her whole body, trying to escape from the. Tenacious hands of the attackers. In the locker room, the friends put Elena Igorevna on her feet with relief, however, the fat one wrung her hands behind her back, and Vitek continued to clamp her mouth.

The mathematician looked at the masked guys with the eyes of a hunted animal. Sanya left the locker room - apparently, he went to close the office.

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But its unpleasant for me, Clara said rudely, getting up from the table. Sarah was frightened and stared at the twisted face of the mutant woman. - Do you know why there are no men here.

Restriction codes medicaid

But that's not why I woke up. Seryoga is stroking my feet, now in full combat readiness. We say something to each other. But words are not important.

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Let's joke - let's pretend to be someone. looks at the clouds, he can't reap- come on. substitute your ass.

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As slowly he plunged the entire penis to the base in me, starting a little faster movement, I melted with pleasure, he began to pull me more confidently on my trunk, the speed grew faster and faster with every second, I was already moving towards him with my booty, sitting on the very testicles.

Then he took the dick out of the ass and stuck it in the pussy, otherwise she was bored already and. Began to fuck with such force that moans turned into screams, he beat in the very uterus, indescribable sensations.



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