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Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update

CMS announces the latest update of Remittance Advice Remark Codes (RARCs) and Claim Adjustment Reason Codes (CARCs) that are effective on July 1, 2011 for Medicare.

New Codes ñ CARC:

CodeCurrent NarrativeEffective Date Per WPC Posting
236This procedure or procedure/modifier combination is not compatible with another procedure or procedure/modifier combination provided on the same day according to the National Correct Coding Initiative. 1/30/2011

New Codes ñ RARC:

CodeCurrent NarrativeMedicare Initiated
N542Midding income verificationNo
N543Incomplete/invalid income verification No

Modified Codes ñ RARC:

CodeModified NarrativeMedicare Initiated
M37Not covered when the patient is under age 35. No
M116Processed under a demonstration project or program. Project or program is ending and additional services may not be paid under this project or program. No
N62Dates of service span multiple rate periods. Resubmit separate claims. No
N356Not covered when performed with, or subsequent to, a non-covered service. No
N428Not covered when performed in this place of service. No
N429Not covered when considered routine. No
N431Not covered with this procedure. No

SOURCE: Source
INDUSTRY NEWS TAGS: CMS


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