N749Remark Code (RARC)Active
Effective 03/01/2015

N749 Remark Code - Missing Blood Gas Report Explained

The N749 remark code indicates that a blood gas report is missing from the claim submission. This remark supplements the adjustment explanation provided by the accompanying reason code, clarifying the reason for the denial or adjustment related to the claim.

How It Relates to the Denial

The N749 remark code typically accompanies adjustment reason codes that signify a claim submission was incomplete due to missing documentation. The combination of N749 and the accompanying reason code signals that the payer requires the blood gas report to proceed with the claim.

Common Scenarios

1A provider submitted a claim for a blood gas analysis but received a denial indicating incomplete documentation.
→ The presence of the N749 remark code shows that the payer specifically needs the blood gas report to process the claim correctly.
2An emergency department billed for a patient’s arterial blood gas test, but the remittance advised that the claim was adjusted due to missing information.
→ The N749 remark code points out that the blood gas report was not included, which is necessary for the payer's review process.
3A laboratory submitted a claim for a series of blood tests, including blood gases, and received an adjustment notice referencing missing documents.
→ The N749 remark code indicates that the blood gas report is the specific document that is missing, which must be provided for the claim to be reconsidered.

What to Do

  1. Obtain the missing blood gas report and prepare to submit it to the payer.
  2. Ensure that the report is complete and meets the payer's documentation standards before resubmission.

What to Check

  • Review the claim submission to confirm whether the blood gas report was included.
  • Check the remittance advice for the accompanying reason code to understand the context of the adjustment.
  • Verify the specific documentation requirements outlined in the payer's policy regarding blood gas tests.