M137 | Incomplete documentation

Industry

Healthcare

Canonical

/healthcare/error-codes/m137/

Last Updated

Feb 25, 2026

Summary

This code indicates that required documentation was incomplete for CMS claim review.

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What This Code Means

M137 is applied when CMS determines that documentation does not meet review standards. This is an administrative issue related to claim support. It does not indicate non-coverage. The service may still be eligible once documentation is complete.

Where Users Usually See This Code

Medicare remittance advice
Documentation request notices
Claim review summaries

Why This Code Appears

Missing supporting documents
Incomplete documentation submitted
Documentation did not meet CMS criteria

What Typically Happens Next

Claim processing is delayed or denied
Additional review may occur
Payment is not finalized

What This Code Is Not

It is not a coverage denial
It is not a billing error
It is not patient responsibility

Troubleshooting Checklist

□ Review documentation requirements
□ Confirm record completeness
□ Monitor review timelines

Notes And Edge Cases

CMS documentation standards are detailed. Timing of submission affects outcomes.

Related Codes

8 links

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