N606Remark Code (RARC)Active
N606 Remark Code - Oregon Workers Compensation Fee Schedule
The N606 code informs the biller that the allowed amount for the billed procedure has been determined based on the Workers Compensation Fee Schedule specific to Oregon. It indicates that this calculation adheres to the relevant state regulations outlined in ORS 742.524, providing context for the adjustment made by the payer.
How It Relates to the Denial
The N606 remark code typically accompanies adjustment reason codes related to payment reductions based on state-specific fee schedules. This combination signals that the payment has been adjusted in accordance with state law governing workers' compensation claims.
Common Scenarios
1A claim for a surgical procedure was submitted under a workers' compensation case, and the payment received was less than expected.
→ The N606 remark indicates that the payment was adjusted according to the Oregon workers' compensation fee schedule, explaining the lower allowed amount.
2A physical therapy service was billed for a patient covered under Oregon workers' compensation, resulting in a remittance showing a reduced payment amount.
→ The N606 remark clarifies that the allowed amount has been calculated based on the state's fee schedule, which justifies the payment reduction.
3A provider submitted a claim for a diagnostic test under a workers' compensation policy, and the remittance indicated an adjustment with the N606 remark.
→ This remark points to the application of the Oregon fee schedule for workers' compensation, providing the basis for the allowed amount adjustment.
What to Do
- Review the adjustment reason code accompanying the N606 remark for additional details on the payment adjustment.
- Ensure that future claims are billed in accordance with the Oregon Workers Compensation Fee Schedule to avoid similar discrepancies.
- If necessary, appeal the adjustment if you believe the allowed amount has been incorrectly calculated.
What to Check
- The specific fee schedule referenced in the N606 code to understand the allowed amounts for the procedure billed.
- The claim details to verify that the billed service aligns with workers' compensation regulations in Oregon.
- The patient's workers' compensation policy to confirm coverage and any applicable state fee schedules.