B15
Qualifying service/procedure has not been received/adjudicated
What This Code Means
This service requires a related, qualifying service to be billed and adjudicated first, and that hasn’t happened yet.
Common Causes
- Claims submitted out of the expected sequence
- Related qualifying service billed to a different claim or not yet processed
How to Resolve or Appeal
- Confirm whether a related qualifying service needs to be billed or finalized first
- Resubmit once the qualifying service has been adjudicated
Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.