Remittance Advice Remark · Major message
RARC M20: Missing/incomplete/invalid HCPCS code.
The HCPCS code on the claim is missing, invalid, or doesn't apply to the date of service.
Code type
Remittance Advice Remark Code (RARC)
Category
Major message
Source
X12 RARC list
What it means
The official X12 description: “Missing/incomplete/invalid HCPCS code.”
In plain language: The HCPCS code on the claim is missing, invalid, or doesn't apply to the date of service.
What to do
Provider needs to correct the HCPCS code (often a specialty drug J-code or DME code). Resubmit, don't appeal.
Frequently asked questions
What does RARC M20 mean?
Missing/incomplete/invalid HCPCS code. In plain language: The HCPCS code on the claim is missing, invalid, or doesn't apply to the date of service.
What should I do when I see RARC M20?
Provider needs to correct the HCPCS code (often a specialty drug J-code or DME code). Resubmit, don't appeal.
Commonly paired CARC codes
Sources
Contact: hello@approvalhelp.com