RARC M25: The information furnished does not substantiate the need for this level of service.
Documentation didn't support the level of service billed (e.g., E&M level 5).
What it means
The official X12 description: “The information furnished does not substantiate the need for this level of service.”
In plain language: Documentation didn't support the level of service billed (e.g., E&M level 5).
What to do
Provider can resubmit with additional chart documentation supporting the level billed. If chart truly doesn't support it, rebill at the lower level.
Frequently asked questions
What does RARC M25 mean?
The information furnished does not substantiate the need for this level of service. In plain language: Documentation didn't support the level of service billed (e.g., E&M level 5).
What should I do when I see RARC M25?
Provider can resubmit with additional chart documentation supporting the level billed. If chart truly doesn't support it, rebill at the lower level.
Commonly paired CARC codes
Sources
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