The technical component of a service furnished to an inpatient may only be billed by that inpatient facility. You must contact the inpatient facility for technical component reimbursement. If not already billed, you should bill us for the professional component only.
Code type
RARC (Remark)
Category
Plan Provision
Common CARC pairings
RARC M96 appears with a Claim Adjustment Reason Code (CARC) on the 835 electronic remittance advice and gives more detail about the adjustment. These are the CARCs most often paired with RARC M96.
| CARC | Meaning |
|---|---|
| 256 | Service not payable per managed care contract. |
See the full resolution workflow for RARC M96
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 requirements.
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