Help | My Account | Checkout
Home
HIPAA
EDI Publications
EDI Standards
EDI Table Data
Code Lists

Remittance Advice Remark Codes

Change Request Form
On-Line Conference FAQs
Last Update 3/1/2010 - Deactivated

Remittance Advice Remark Codes - Deactivated

Remittance Advice Remark Codes are used to convey information about remittance processing or to provide a supplemental explanation for an adjustment already described by a Claim Adjustment Reason Code. Each Remittance Advice Remark Code identifies a specific message as shown in the Remittance Advice Remark Code List.

M33Missing/incomplete/invalid UPIN for the ordering/referring/performing provider.
Start: 01/01/1997 | Stop: 08/01/2004
Notes: Consider using M68
M34Claim lacks the CLIA certification number.
Start: 01/01/1997 | Stop: 08/01/2004
Notes: Consider using MA120
M35Missing/incomplete/invalid pre-operative photos or visual field results.
Start: 01/01/1997 | Stop: 02/05/2005
Notes: Consider using N178
M43Payment for this service previously issued to you or another provider by another carrier/intermediary.
Start: 01/01/1997 | Stop: 01/31/2004
Notes: Consider using Reason Code 23
M48Payment for services furnished to hospital inpatients (other than professional services of physicians) can only be made to the hospital. You must request payment from the hospital rather than the patient for this service.
Start: 01/01/1997 | Stop: 01/31/2004
Notes: Consider using M97
M57Missing/incomplete/invalid provider identifier.
Start: 01/01/1997 | Stop: 06/02/2005
M58Missing/incomplete/invalid claim information. Resubmit claim after corrections.
Start: 01/01/1997 | Stop: 02/05/2005
M63We do not pay for more than one of these on the same day.
Start: 01/01/1997 | Stop: 01/31/2004
Notes: Consider using M86
M68Missing/incomplete/invalid attending, ordering, rendering, supervising or referring physician identification.
Start: 01/01/1997 | Stop: 06/02/2005
M72Did not enter full 8-digit date (MM/DD/CCYY).
Start: 01/01/1997 | Stop: 10/16/2003
Notes: Consider using MA52
M78Missing/incomplete/invalid HCPCS modifier.
Start: 01/01/1997 | Stop: 05/18/2006 | Last Modified: 02/28/2003
Notes: (Modified 2/28/03,) Consider using Reason Code 4
M88We cannot pay for laboratory tests unless billed by the laboratory that did the work.
Start: 01/01/1997 | Stop: 08/01/2004
Notes: Consider using Reason Code B20
M92Services subjected to review under the Home Health Medical Review Initiative.
Start: 01/01/1997 | Stop: 08/01/2004
M98Begin to report the Universal Product Number on claims for items of this type. We will soon begin to deny payment for items of this type if billed without the correct UPN.
Start: 01/01/1997 | Stop: 01/31/2004
Notes: Consider using M99
M101Begin to report a G1-G5 modifier with this HCPCS. We will soon begin to deny payment for this service if billed without a G1-G5 modifier.
Start: 01/01/1997 | Stop: 01/31/2004
Notes: Consider using M78
M106Information supplied does not support a break in therapy. A new capped rental period will not begin. This is the maximum approved under the fee schedule for this item or service.
Start: 01/01/1997 | Stop: 01/31/2004
Notes: Consider using MA 31
M108Missing/incomplete/invalid provider identifier for the provider who interpreted the diagnostic test.
Start: 01/01/1997 | Stop: 06/02/2005
M110Missing/incomplete/invalid provider identifier for the provider from whom you purchased interpretation services.
Start: 01/01/1997 | Stop: 06/02/2005
M120Missing/incomplete/invalid provider identifier for the substituting physician who furnished the service(s) under a reciprocal billing or locum tenens arrangement.
Start: 01/01/1997 | Stop: 06/02/2005
M128Missing/incomplete/invalid date of the patient's last physician visit.
Start: 01/01/1997 | Stop: 06/02/2005
M140Service not covered until after the patient's 50th birthday, i.e., no coverage prior to the day after the 50th birthday
Start: 01/01/1997 | Stop: 01/30/2004
Notes: Consider using M82
MA03If you do not agree with the approved amounts and $100 or more is in dispute (less deductible and coinsurance), you may ask for a hearing within six months of the date of this notice. To meet the $100, you may combine amounts on other claims that have been denied, including reopened appeals if you received a revised decision. You must appeal each claim on time.
Start: 01/01/1997 | Stop: 10/01/2006 | Last Modified: 11/18/2005
Notes: Consider using MA02 (Modified 10/31/02, 6/30/03, 8/1/05, 11/18/05)
MA05Incorrect admission date patient status or type of bill entry on claim.
Start: 01/01/1997 | Stop: 10/16/2003
Notes: Consider using MA30, MA40 or MA43
MA06Missing/incomplete/invalid beginning and/or ending date(s).
Start: 01/01/1997 | Stop: 08/01/2004
Notes: Consider using MA31
MA11Payment is being issued on a conditional basis. If no-fault insurance, liability insurance, Workers' Compensation, Department of Veterans Affairs, or a group health plan for employees and dependents also covers this claim, a refund may be due us. Please contact us if the patient is covered by any of these sources.
Start: 01/01/1997 | Stop: 01/31/2004
Notes: Consider using M32
MA29Missing/incomplete/invalid provider name, city, state, or zip code.
Start: 01/01/1997 | Stop: 06/02/2005
MA38Missing/incomplete/invalid birth date.
Start: 01/01/1997 | Stop: 06/02/2005
MA49Missing/incomplete/invalid six-digit provider identifier for home health agency or hospice for physician(s) performing care plan oversight services.
Start: 01/01/1997 | Stop: 08/01/2004
Notes: Consider using MA76
MA51Missing/incomplete/invalid CLIA certification number for laboratory services billed by physician office laboratory.
Start: 01/01/1997 | Stop: 02/05/2005
Notes: Consider using MA120
MA52Missing/incomplete/invalid date.
Start: 01/01/1997 | Stop: 06/02/2005
MA78The patient overpaid you. You must issue the patient a refund within 30 days for the difference between our allowed amount total and the amount paid by the patient.
Start: 01/01/1997 | Stop: 01/31/2004
Notes: Consider using MA59
MA82Missing/incomplete/invalid provider/supplier billing number/identifier or billing name, address, city, state, zip code, or phone number.
Start: 01/01/1997 | Stop: 06/02/2005
MA85Our records indicate that a primary payer exists (other than ourselves); however, you did not complete or enter accurately the insurance plan/group/program name or identification number. Enter the PlanID when effective.
Start: 01/01/1997 | Stop: 08/01/2004
Notes: Consider using MA92
MA86Missing/incomplete/invalid group or policy number of the insured for the primary coverage.
Start: 01/01/1997 | Stop: 08/01/2004
Notes: Consider using MA92
MA87Missing/incomplete/invalid insured's name for the primary payer.
Start: 01/01/1997 | Stop: 08/01/2004
Notes: Consider using MA92
MA95A not otherwise classified or unlisted procedure code(s) was billed but a narrative description of the procedure was not entered on the claim. Refer to item 19 on the HCFA-1500.
Start: 01/01/1997 | Stop: 01/01/2004 | Last Modified: 02/28/2003
Notes: (Deactivated 2/28/2003) (Erroneous description corrected 9/2/2008) Consider using M51
MA98Claim Rejected. Does not contain the correct Medicare Managed Care Demonstration contract number for this beneficiary.
Start: 01/01/1997 | Stop: 10/16/2003
Notes: Consider using MA97
MA102Missing/incomplete/invalid name or provider identifier for the rendering/referring/ ordering/ supervising provider.
Start: 01/01/1997 | Stop: 08/01/2004
Notes: Consider using M68
MA104Missing/incomplete/invalid date the patient was last seen or the provider identifier of the attending physician.
Start: 01/01/1997 | Stop: 01/31/2004
Notes: Consider using M128 or M57
MA105Missing/incomplete/invalid provider number for this place of service.
Start: 01/01/1997 | Stop: 06/02/2005
MA119Provider level adjustment for late claim filing applies to this claim.
Start: 01/01/1997 | Stop: 05/01/2008 | Last Modified: 11/05/2007
Notes: Consider using Reason Code B4
MA124Processed for IME only.
Start: 01/01/1997 | Stop: 01/31/2004
Notes: Consider using Reason Code 74
MA127Reserved for future use.
Start: 10/12/2001 | Stop: 06/02/2005
MA129This provider was not certified for this procedure on this date of service.
Start: 10/12/2001 | Stop: 01/31/2004 | Last Modified: 01/31/2004
Notes: Consider using MA120 and Reason Code B7
N14Payment based on a contractual amount or agreement, fee schedule, or maximum allowable amount.
Start: 01/01/2000 | Stop: 10/01/2007
Notes: Consider using Reason Code 45
N17Per admission deductible.
Start: 01/01/2000 | Stop: 08/01/2004
Notes: Consider using Reason Code 1
N18Payment based on the Medicare allowed amount.
Start: 01/01/2000 | Stop: 01/31/2004
Notes: Consider using N14
N38Missing/incomplete/invalid place of service.
Start: 01/01/2000 | Stop: 02/05/2005
Notes: Consider using M77
N41Authorization request denied.
Start: 01/01/2000 | Stop: 10/16/2003
Notes: Consider using Reason Code 39
N44Payer's share of regulatory surcharges, assessments, allowances or health care-related taxes paid directly to the regulatory authority.
Start: 01/01/2000 | Stop: 10/16/2003
Notes: Consider using Reason Code 137
N60A valid NDC is required for payment of drug claims effective October 02.
Start: 01/01/2000 | Stop: 01/31/2004
Notes: Consider using M119
N66Missing/incomplete/invalid documentation.
Start: 01/01/2000 | Stop: 02/05/2005
Notes: Consider using N29 or N225.
N73A Skilled Nursing Facility is responsible for payment of outside providers who furnish these services/supplies under arrangement to its residents.
Start: 01/01/2000 | Stop: 01/31/2004
Notes: Consider using MA101 or N200
N101Additional information is needed in order to process this claim. Please resubmit the claim with the identification number of the provider where this service took place. The Medicare number of the site of service provider should be preceded with the letters 'HSP' and entered into item #32 on the claim form. You may bill only one site of service provider number per claim.
Start: 10/31/2001 | Stop: 01/31/2004
Notes: Consider uisng MA105
N145Missing/incomplete/invalid provider identifier for this place of service.
Start: 10/31/2002 | Stop: 06/02/2005
N164Transportation to/from this destination is not covered.
Start: 02/28/2003 | Stop: 01/31/2004
Notes: Consider using N157
N165Transportation in a vehicle other than an ambulance is not covered.
Start: 02/28/2003 | Stop: 01/31/2004
Notes: Consider using N158)
N166Payment denied/reduced because mileage is not covered when the patient is not in the ambulance.
Start: 02/28/2003 | Stop: 01/31/2004
Notes: Consider using N159
N168The patient must choose an option before a payment can be made for this procedure/ equipment/ supply/ service.
Start: 02/28/2003 | Stop: 01/31/2004
Notes: Consider using N160
N169This drug/service/supply is covered only when the associated service is covered.
Start: 02/28/2003 | Stop: 01/31/2004
Notes: Consider using N161
N361Payment adjusted based on multiple diagnostic imaging procedure rules
Start: 11/18/2005 | Stop: 10/01/2007 | Last Modified: 12/01/2006
Notes: (Modified 12/1/06) Consider using Reason Code 59
N411This service is allowed one time in a 6-month period. (This temporary code will be deactivated on 2/1/09. Must be used with Reason Code 119.)
Start: 08/01/2007 | Stop: 02/01/2009
N412This service is allowed 2 times in a 12-month period. (This temporary code will be deactivated on 2/1/09. Must be used with Reason Code 119.)
Start: 08/01/2007 | Stop: 02/01/2009
N413This service is allowed 2 times in a benefit year. (This temporary code will be deactivated on 2/1/09. Must be used with Reason Code 119.)
Start: 08/01/2007 | Stop: 02/01/2009
N414This service is allowed 4 times in a 12-month period. (This temporary code will be deactivated on 2/1/09. Must be used with Reason Code 119.)
Start: 08/01/2007 | Stop: 02/01/2009
N415This service is allowed 1 time in an 18-month period. (This temporary code will be deactivated on 2/1/09. Must be used with Reason Code 119.)
Start: 08/01/2007 | Stop: 02/01/2009
N416This service is allowed 1 time in a 3-year period. (This temporary code will be deactivated on 2/1/09. Must be used with Reason Code 119.)
Start: 08/01/2007 | Stop: 02/01/2009
N417This service is allowed 1 time in a 5-year period. (This temporary code will be deactivated on 2/1/09. Must be used with Reason Code 119.)
Start: 08/01/2007 | Stop: 02/01/2009
N515Alert: Submit this claim to the patient's other insurer for potential payment of supplemental benefits. We did not forward the claim information. (use N387 instead)
Start: 11/01/2008 | Stop: 10/01/2009
[ Back ]
Buy the Code Lists
 Electronic File
Printed Document
Update Alert Service
Washington Publishing Company © 2010. All rights reserved. Help | Privacy Policy | Contact Us

  28