M52Remark Code (RARC)Active
M52 Remark Code - Missing or Invalid Service Dates
The M52 remark code indicates that the claim contains missing, incomplete, or invalid 'from' date(s) of service. This remark supplements an adjustment reason code, clarifying that the problem lies specifically with the date(s) reported for the services rendered.
How It Relates to the Denial
The M52 remark typically accompanies claim adjustment reason codes that indicate denial or reduction due to issues with service dates. This combination signals that the payer requires accurate date information for processing the claim correctly.
Common Scenarios
1A provider submitted a claim for a procedure performed on an unspecified date, and the remittance shows a denial related to the service date.
→ The M52 remark suggests that the payer found the 'from' date of service missing or incorrectly formatted, necessitating clarification before resubmission.
2A claim was submitted with a service date that does not match the patient's eligibility dates, resulting in a denial with an accompanying adjustment reason code.
→ The M52 remark indicates that the 'from' date is invalid based on the payer's records, and the claim cannot be processed without correcting this information.
3A claim for a series of physical therapy sessions was denied, and the remittance included an adjustment reason code for lack of documentation along with the M52 remark.
→ The M52 remark points out that the 'from' date provided for the therapy sessions is either incomplete or incorrect, which directly affects the claim's validity.
What to Do
- Verify the 'from' date(s) of service on the claim to ensure they are complete and correctly formatted.
- Correct any inaccuracies in the service date(s) and prepare to resubmit the claim.
- If applicable, provide additional documentation that clarifies the service dates.
What to Check
- Check the claim form for the 'from' date(s) of service listed.
- Review the patient's eligibility records for the corresponding service dates.
- Examine any supporting documentation that may clarify the service dates provided.