M15 remark code

Remittance advice remark code M15. Remark codes add detail to the reason code on the same claim line.

Bundled into another service on the claim

Unofficial reference. This is our own plain-English explanation, not the official code text. Payer rules differ. Verify with the payer and the official X12 code list. AlphaPrefix is not affiliated with X12, CMS or any payer. Data last updated .

What M15 means

Services billed as separate lines are treated as parts of one procedure, so the payer pays them as a single service.

The payer has decided that two or more lines you billed are components of a single procedure. It pays one and folds the other into it rather than paying both.

You will usually see it next to reason code 97 or a similar bundling code. Whether a modifier can unbundle the lines depends on the edit and on the documentation.

Common causes

What to do next

  1. Check the pair of codes against the national correct coding edits and the payer's bundling policy.
  2. If the services were truly separate, correct the claim with the right modifier and documentation support.
  3. If the bundling is correct, post the line as included in the primary procedure.

Related codes

Source

Official wording: X12 Remittance Advice Remark Codes list. The explanation on this page is our own plain-English wording, not the X12 text.

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