M97M-series (Medicare line-level)Coding & Bundling
M97: Paid to facility, not practitioner, for this POS
The professional payment is included in the facility's reimbursement for this place of service — the practitioner can't bill it separately here.
Commonly appears with these denial codes
The denial code gives the category; M97 pinpoints the specific problem. Read them together before touching the claim.
What to do about it
Check the POS and your billing arrangement with the facility. Site-of-service billing splits (professional vs technical) may need a corrected claim.
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