Paid at the regular rate as you did not submit documentation to justify the modified procedure code.
Code type
RARC (Remark)
Category
Medical Necessity
Common CARC pairings
RARCs like M69 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC M69 is most often paired with.
| CARC | Meaning |
|---|---|
| 151 | Payment adjusted because the payer deems the information submitted does not support this many/frequency of services. |
See the full resolution workflow for RARC M69
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.
Open in EDI Lab