M49 remark code

Remittance advice remark code M49. Remark codes add detail to the reason code on the same claim line.

Missing or invalid value code or amount

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 M49 means

A value code or its amount on an institutional claim is missing, incomplete or does not make sense for the claim.

Value codes carry amounts the payer needs to process an institutional claim, such as amounts paid by another payer or other financial details. This remark says a needed value code was absent, or the code or its amount was not valid.

It usually comes with reason code 16, and the claim must be corrected and sent again.

Common causes

What to do next

  1. Review the value codes and amounts on the claim against the payer's institutional billing rules.
  2. Correct the value code or amount in the billing system.
  3. Resubmit the corrected claim and watch for further edits.

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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