N178Remark Code (RARC)Active
N178 Remark Code - Missing Pre-Operative Images
The N178 remark code indicates that pre-operative images or visual field results are missing. This remark supplements an adjustment already noted by a Claim Adjustment Reason Code, providing additional context for the denial or reduction of payment.
How It Relates to the Denial
The N178 remark typically accompanies adjustment reason codes that relate to documentation deficiencies. The combination signals that while an adjustment has been made, specific imaging or test results necessary for proper claim processing were not included.
Common Scenarios
1A claim for a cataract surgery was submitted, but the remittance returned with a denial indicating insufficient documentation.
→ The N178 remark suggests that the payer requires pre-operative images or visual field results to support the claim, which were not provided.
2A claim for a glaucoma procedure was processed, but the payment was reduced, citing lack of necessary visual field test results.
→ The presence of the N178 remark means that the payer is pointing out the absence of required visual field results, impacting the claim's payment.
3An ophthalmology claim was denied with a reason code for documentation issues, and the N178 remark was included in the remittance advice.
→ The N178 remark clarifies that the specific missing documentation pertains to pre-operative images or visual field results, which are crucial for the claim.
What to Do
- Obtain the missing pre-operative images or visual field results and prepare to resubmit the claim.
- Ensure that any future submissions include all necessary documentation to prevent similar denials.
- Review the original claim submission to identify what was provided and what was missing.
What to Check
- The original claim submission for any attached imaging or test results.
- The payer's documentation requirements for the specific procedure billed.
- Any communication or notes from the provider regarding the pre-operative assessments performed.