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RARC
M105
RARC
General
Quick Facts
Code
M105
Type
RARC
Category
General
Status
Active
What Does This Code Mean?
Information supplied does not support a break in therapy, and does not support the need for this item as billed; payment approved at a reduced level.
Common Causes
- Payer-specific processing rule or historical/administrative code
- May require payer contact for full context
Recommended Next Steps
- Review the payer's specific policy referenced by this code
- Contact the payer's provider services line if the reason isn't clear from the remittance
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Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.