Remittance Advice Remark · Note
RARC N431: Service is not covered with this procedure.
Procedure-pair NCCI edit fired — these procedures aren't billable together same day.
Code type
Remittance Advice Remark Code (RARC)
Category
Note
Source
X12 RARC list
What it means
The official X12 description: “Service is not covered with this procedure.”
In plain language: Procedure-pair NCCI edit fired — these procedures aren't billable together same day.
What to do
Provider may rebill with appropriate modifier (25, 59) if the services were clinically distinct.
Frequently asked questions
What does RARC N431 mean?
Service is not covered with this procedure. In plain language: Procedure-pair NCCI edit fired — these procedures aren't billable together same day.
What should I do when I see RARC N431?
Provider may rebill with appropriate modifier (25, 59) if the services were clinically distinct.
Commonly paired CARC codes
Sources
Contact: hello@approvalhelp.com