N927Remark Code (RARC)Active
N927 Remark Code - Missing/Incomplete/Invalid X-ray
The N927 remark code indicates that there is a missing, incomplete, or invalid x-ray related to the claim. This code supplements an adjustment already described by a Claim Adjustment Reason Code, providing further clarification on why the claim was adjusted or denied.
How It Relates to the Denial
Typically, the N927 remark code accompanies adjustment reason codes related to x-ray services, signaling that the documentation submitted does not meet the payer's requirements for x-ray procedures. This combination usually points to issues with the x-ray itself, such as lack of proper authorization or missing information needed for processing.
Common Scenarios
1A claim for an x-ray service was submitted, but the remittance shows an adjustment indicating that the x-ray documentation is incomplete.
→ The presence of the N927 code suggests that the payer found the x-ray information lacking, which is why the claim was adjusted. The payer expects that additional details or corrections will be provided.
2An x-ray claim was denied due to an invalid x-ray report, and the remittance includes a reason code along with the N927 remark code.
→ The N927 remark code clarifies that the x-ray report did not meet the necessary criteria, guiding the biller to review and correct the x-ray documentation.
3A provider billed for an x-ray but received a remittance with an adjustment reason code and the N927 remark indicating an invalid x-ray submission.
→ The N927 remark code indicates that the x-ray submitted does not fulfill the required standards, prompting the biller to verify the validity of the x-ray documentation.
What to Do
- Review the x-ray documentation submitted for completeness and accuracy.
- Ensure that all required fields and information related to the x-ray are correctly filled out on the claim.
- If applicable, obtain and submit a valid x-ray report that meets the payer's requirements.
What to Check
- Check the x-ray report for any missing or incorrect details.
- Review the claim submission for any discrepancies in the x-ray information provided.
- Consult the payer's policy on x-ray documentation requirements to ensure compliance.