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MA20 - Denial Journal
RARC

MA20

What This Code Means

Skilled Nursing Facility (SNF) stay not covered when care is primarily related to the use of an urethral catheter for convenience or the control of incontinence.

Common Causes

  • Service falls under a specific plan exclusion
  • Benefit maximum or occurrence limit already reached
  • Wrong plan or benefit category billed

How to Resolve or Appeal

  1. Confirm the specific exclusion or limit that applies with the payer
  2. Check for secondary coverage that may pick up the balance
  3. Bill the patient per financial policy if the exclusion is confirmed accurate

More Denial Codes to Check

CARC CO-54 Multiple physicians/assistants are not covered in this case RARC M117 CARC CO-303 RARC M83 CARC CO-147 Provider contracted/negotiated rate expired or not on file RARC MA126 RARC MA33 CARC CO-47 CARC PR-204 Service/equipment/drug not covered under the patient's current benefit plan CARC CO-149 CARC CO-119 Benefit maximum for this time period or occurrence has been reached CARC PR-2 Coinsurance amount CARC CO-53

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

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