N247Remark Code (RARC)Active
N247 Remark Code - Assistant Surgeon Taxonomy Issue
The N247 remark code indicates that there is a missing, incomplete, or invalid taxonomy code for the assistant surgeon on the claim. This code supplements another adjustment reason code, providing specific insight into why the claim was reduced or denied due to the assistant surgeon's taxonomy issue.
How It Relates to the Denial
The N247 remark code typically accompanies adjustment reason codes related to provider credentialing or billing inaccuracies. It signals that while there was an adjustment made, the specific issue lies with the taxonomy code associated with the assistant surgeon, which needs to be addressed for proper claim processing.
Common Scenarios
1A claim was submitted for a surgical procedure that included an assistant surgeon, but the remittance shows an adjustment with the N247 remark code. The biller notices that the assistant surgeon's taxonomy code is missing from the claim submission.
→ In this scenario, the N247 remark code indicates that the taxonomy code for the assistant surgeon is either not provided, incomplete, or incorrect. The payer expects this code to be reviewed and corrected before resubmission.
2A provider submits a claim for a surgical service with an assistant surgeon, but the payment is reduced and the remittance includes the N247 remark code. The taxonomy code listed for the assistant surgeon does not match any valid codes in the payer's database.
→ Here, the N247 remark points to an issue with the taxonomy code provided for the assistant surgeon, suggesting that it is invalid. The payer is indicating that the claim cannot be processed correctly until this is rectified.
3After submitting a claim for a complex surgical procedure, a biller receives a remittance with an adjustment and the N247 remark code. The biller realizes that the assistant surgeon's taxonomy code was not included in the claim submission.
→ This use of the N247 remark code highlights that the lack of a valid taxonomy code for the assistant surgeon is the reason for the adjustment. The payer is expecting the biller to supply the missing information to resolve the issue.
What to Do
- Verify the assistant surgeon's taxonomy code is included on the claim submission.
- Ensure the taxonomy code is valid and matches the assistant surgeon's specialty.
- Correct and resubmit the claim with the appropriate taxonomy information.
What to Check
- The original claim submission for the assistant surgeon's taxonomy code.
- The assistant surgeon's credentials and associated taxonomy codes.
- The payer's guidelines for valid taxonomy codes related to assistant surgeons.