Pend Codes

Pend codes are used for explanation as to why a claim is in "Pend" status.

Pend Code	Description
15	Hospital Audit
20	Supervisory Review
22	Red Flag Employee
23	Pend All claims
24	Pend Claim Warnings
25	Pend Claim Errors
26	Pend Hospital Claims
27	Pend Claims Over $$
28	Pend Coverage Code
31	Provider Type Pended
35	Check Paid Claim Report
40	DPS&C Duplicate Check
41	DPS&C Contract
42	Eligibility Verification
43	Verify Intranet Info
44	No Image
45	Possible Adjustment
46	Invalid CPT / HCPC
47	Fiscal Year Changes / Mem.
48	DPS&C Hold
49	Prior to 07/01/07
50	3M Pricing Required
51	Administrative Day
52	Load Physician
53	PHY / Contract Load
54	Anesthesia
55	HCPCS
56	Image Attached
57	TIF
58	Ambulance
59	Fee Schedule Update
60	Secondary Re-pricing

codes in bold are considered most relevant for LA DPS&C