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Remark Code Lookup

RARC remark codes are the fine print on your ERA — they ride along denial codes and tell you exactlywhat's wrong. Search the highest-frequency codes by number or by problem.

61 codes shown

CodeWhat it meansOften with
MA130Claim unprocessable — no appeal rightsMissing InformationCO-16
M20HCPCS code missing or invalidMissing InformationCO-16, CO-181
M51Procedure code missing or invalidMissing InformationCO-16, CO-181
M76Diagnosis missing or invalidMissing InformationCO-16, CO-146
M77Place of service missing or wrongMissing InformationCO-5, CO-16
M79Charge amount missing or invalidMissing InformationCO-16
M81Diagnosis not coded to highest specificityMissing InformationCO-16, CO-146
M119NDC missing or invalidMissing InformationCO-16
MA27Entitlement number or name invalidMissing InformationCO-16, CO-31, PR-31
MA30Type of bill missing or invalidMissing InformationCO-16
MA36Patient name missing or invalidMissing InformationCO-16
MA61SSN missing or invalidMissing InformationCO-16
MA63Principal diagnosis missing or invalidMissing InformationCO-16, CO-146
MA65Admitting diagnosis missing or invalidMissing InformationCO-16
MA66Principal procedure code missing or invalidMissing InformationCO-16
MA120CLIA number missing or invalidMissing InformationCO-16, CO-B7
N382Patient identifier missing or invalidMissing InformationCO-16, CO-31
N822Procedure modifier missingMissing InformationCO-4, CO-16
N823Procedure modifier invalidMissing InformationCO-4, CO-182
N152Replacement claim information invalidMissing InformationCO-16
M15Services bundled into primary procedureCoding & BundlingCO-97, CO-236
M80Not covered same session as prior serviceCoding & BundlingCO-97, CO-B15
M86Same/similar service paid within timeframeCoding & BundlingCO-119, CO-151
M144Pre/post-op care included in surgical paymentCoding & BundlingCO-97
N19Procedure incidental to primary procedureCoding & BundlingCO-97
N122Add-on code billed without primaryCoding & BundlingCO-16, CO-107
N56Wrong procedure code for service or dateCoding & BundlingCO-16, CO-181
N525Inside another service's global periodCoding & BundlingCO-97
N657Rebill with the appropriate codeCoding & BundlingCO-16, CO-181
M97Paid to facility, not practitioner, for this POSCoding & BundlingCO-97, CO-58
N30Patient ineligible for this serviceCoverage & EligibilityCO-96, PR-204, CO-177
N130Check plan documents for restrictionsCoverage & EligibilityCO-96, PR-204
N182Must bill per the plan's scheduleCoverage & EligibilityCO-16, CO-24
N351Service date outside approved treatment planCoverage & EligibilityCO-197, CO-198
N362Units exceed acceptable maximumCoverage & EligibilityCO-151, CO-222
N95Provider type can't bill this serviceCoverage & EligibilityCO-8, CO-170, CO-B7
N115Denied per Local Coverage DeterminationCoverage & EligibilityCO-50, CO-167
N386Denied per National Coverage DeterminationCoverage & EligibilityCO-50, CO-96
N674Missing prerequisite serviceCoverage & EligibilityCO-50, CO-197
N702Decision based on prior claim historyCoverage & EligibilityCO-18, CO-B13
MA04Secondary claim needs primary payer infoCOB & SecondaryCO-16, OA-23
N4Missing prior insurer EOBCOB & SecondaryCO-16, CO-22
N479Missing EOB for COB or MSPCOB & SecondaryCO-16, CO-22, OA-23
N598Other health coverage is primaryCOB & SecondaryCO-22, PR-22
N522Duplicate of a crossover claimCOB & SecondaryCO-18, OA-18
MA92Missing other-insurance plan informationCOB & SecondaryCO-16, CO-22
M25Documentation doesn't support level of serviceDocumentation & Medical NecessityCO-150, CO-50
M127Missing patient medical recordDocumentation & Medical NecessityCO-16, CO-252
N706Missing documentationDocumentation & Medical NecessityCO-252, CO-16
N179Information requested from the memberDocumentation & Medical NecessityCO-227, PR-227
N265Ordering provider identifier missing/invalidProvider IdentifiersCO-16, CO-183
N286Referring provider identifier missing/invalidProvider IdentifiersCO-16, CO-183
N290Rendering provider identifier missing/invalidProvider IdentifiersCO-16, CO-B7
MA97Demo/clinical trial number missing or invalidProvider IdentifiersCO-16
N418Misrouted claim — wrong payer address/systemProvider IdentifiersCO-109
MA01Alert: appeal rights — 120 days (Medicare redetermination)Alerts & Appeals
MA02Alert: appeal rights — 180 daysAlerts & Appeals
MA13Alert: don't balance-bill non-PR amountsAlerts & Appeals
MA18Alert: claim crossed over to supplemental insurerAlerts & Appeals
N59Alert: see the provider manualAlerts & Appeals
N700Payment adjusted per EHR incentive programAlerts & AppealsCO-237

How to read CARC + RARC together

The CARC (like CO-16) tells you the category — "claim lacks information." The RARC tells you which information: N290 means the rendering NPI, M76 means the diagnosis, MA120 means the CLIA number. Working denials without reading the remark codes is why claims get resubmitted three times instead of once.

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