Healthcare Error Code
Healthcare Insurance / Medical Billing
Common CMS / Medicare Issues
M153 | Invalid billing
Industry
Healthcare
Canonical
/healthcare/error-codes/m153/
Last Updated
Feb 25, 2026
Summary
This code indicates that billing information submitted was invalid under CMS rules.
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What This Code Means
M153 is used when CMS validation identifies billing information that does not meet requirements. This is an administrative billing issue. It does not independently determine coverage. Corrected billing may allow reprocessing.
Where Users Usually See This Code
- Medicare remittance advice
- Claim rejection notices
- Billing validation reports
Why This Code Appears
- Invalid billing data submitted
- Formatting or coding issues
- CMS billing rules enforced
What Typically Happens Next
- Claim is denied or adjusted
- Reprocessing may be required
- Payment is delayed
What This Code Is Not
- It is not a non-covered service decision
- It is not patient responsibility
- It is not a contractual adjustment
Troubleshooting Checklist
- □ Review CMS billing guidelines
- □ Confirm billing data accuracy
- □ Monitor claim status
Notes And Edge Cases
CMS billing edits are strict. System updates may change validation behavior.
Related Codes
8 links
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