M67 remark code

Remittance advice remark code M67. Remark codes add detail to the reason code on the same claim line.

Missing or invalid other 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 M67 means

A secondary or other procedure code on an institutional claim is missing, incomplete or not valid.

Institutional claims report a principal procedure and may report other procedures performed. This remark says one of the other procedure codes was blank where expected, invalid, or not effective on the date.

It usually comes with reason code 16 and is fixed with a corrected claim.

Common causes

What to do next

  1. Check the other procedure codes against the code set in effect for the date.
  2. Ask coding to review the abstract if several procedure codes were rejected.
  3. Send a corrected claim once coding has confirmed the other procedure codes.

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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