RARC M69: Paid at the regular rate as you did not submit documentation to justify the modified procedure code.
Paid at the regular rate as you did not submit documentation to justify the modified procedure code.
What it means
The official X12 description: “Paid at the regular rate as you did not submit documentation to justify the modified procedure code.”
In plain language: Paid at the regular rate as you did not submit documentation to justify the modified procedure code.
What to do
Read the accompanying CARC for the primary denial reason; this RARC adds detail. Appeal or correct based on the CARC's appealability.
Frequently asked questions
What does RARC M69 mean?
Paid at the regular rate as you did not submit documentation to justify the modified procedure code. In plain language: Paid at the regular rate as you did not submit documentation to justify the modified procedure code.
What should I do when I see RARC M69?
Read the accompanying CARC for the primary denial reason; this RARC adds detail. Appeal or correct based on the CARC's appealability.
Related
Sources
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