M51 remark code
Remittance advice remark code M51. Remark codes add detail to the reason code on the same claim line.
Missing or invalid procedure code
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 M51 means
One or more procedure codes on the claim are missing, incomplete or not valid, so the line could not be processed.
The payer could not process the line because it found no usable procedure code. The code may be blank, deleted, not yet effective, or simply mistyped.
This is a claim data problem rather than a coverage decision. It usually comes with reason code 16 or 181, and the fix is a corrected claim with a valid code.
Common causes
- A deleted or newly added code was billed outside its effective dates.
- A code was keyed with a typo or missing a character.
- An unlisted or internal charge code was sent instead of a standard code.
What to do next
- Verify the procedure code against the code set in effect on the date of service.
- Correct the code and resubmit the claim.
- If an unlisted code is right, include the description and documentation the payer requires.
Related codes
- 16 (reason code) Missing information or billing error
- M20 (remark code) Missing or invalid HCPCS code
- M67 (remark code) Missing or invalid other procedure code
- M84 (remark code) Use code sets in effect for the date
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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