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M142 - Denial Journal
RARC

M142

What This Code Means

Missing American Diabetes Association Certificate of Recognition.

Common Causes

  • Authorization/referral not obtained before the service
  • Authorization obtained but for different codes, units, or dates than billed
  • Authorization expired before the service date

How to Resolve or Appeal

  1. Check the payer portal for an authorization on file and compare it exactly to what was billed
  2. Request a retroactive authorization if the payer allows it
  3. Appeal with clinical documentation if retro-authorization is denied

More Denial Codes to Check

RARC M60 CARC CO-197 Precertification/authorization/notification absent CARC CO-P16 CARC CO-183 The referring provider is not eligible to refer the service billed RARC M34 RARC MA120 RARC M19 CARC B7 Provider not certified/eligible to be paid for this procedure/service on this date RARC N54 Claim information is inconsistent with pre-certified/authorized services CARC CO-299 The billing provider is not eligible to receive payment for the service billed

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

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