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RARC Code Reference

RARC M111: We do not pay for chiropractic manipulative treatment when the patient refuses to have an x-ray taken.

We do not pay for chiropractic manipulative treatment when the patient refuses to have an x-ray taken.

Code type RARC (Remark)
Category Non-Covered Service

Common CARC pairings

RARCs like M111 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC M111 is most often paired with.

CARCMeaning
96 Non-covered charge(s). At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.) Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.

See the full resolution workflow for RARC M111

Members of the EDI-Code Intelligence Lab get the step-by-step rework path, appeal language, root-cause drivers, and prevention checklist for every RARC and CARC pairing, plus payer-specific quirks.

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