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US · guidance

CMS Pub. 100-04, ch. 13, § 20.2.5.1

Remittance Advice Remark Codes (RARCs), Claim Adjustment Reason

activein force · 2026-08-25 – presentas-observed

Codes (CARCs), and Medicare Summary Notice (MSN)

(Rev.3820, Issued: 11-21-17, Effective: 01-01-18, Implementation; 01-02-18)

Contractors shall use the following messages when adjusting x-ray radiograph claim lines that have been

reported with the FX modifier:

CARC 237 – Legislated/Regulatory Penalty. 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.)

RARC N775 - Payment adjusted based on x-ray radiograph on film.

MSN 30.1 - The approved amount is based on a special payment method.

History

(Rev.3820, Issued: 11-21-17, Effective: 01-01-18, Implementation; 01-02-18)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
b137dcceb1097464b02c074155e515ae0e0f9feedd09c3871838b717bd48c3dc
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CMS Pub. 100-04, ch. 13, § 20.2.5.1 — Remittance Advi… · binding.law