CMS 2026 Alert: Quarterly ICD-10-CM & NCCI updates active.
N95 - Denial Journal
RARC

N95

This provider type/specialty may not bill this service

What This Code Means

The payer’s records indicate a provider of this type or specialty isn’t permitted to bill the specific service or procedure code.

Common Causes

  • Service requires a specific specialty designation not on file
  • Provider's taxonomy code entered incorrectly on the claim

How to Resolve or Appeal

  1. Verify the correct taxonomy code for the rendering provider
  2. Confirm payer policy on which specialties may bill this code
  3. Correct and resubmit, or bill under a qualifying provider if applicable

Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.

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