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M86 - Denial Journal
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RARC

M86

RARC Duplicate/Timely Filing
Quick Facts
Code
M86
Type
RARC
Category
Duplicate/Timely Filing
Status
Active

Service denied — payment already made for the same/similar procedure within a set time frame

What Does This Code Mean?

The payer already paid for the same or a similar procedure within its allowed frequency window.

Common Causes

  • Frequency limit for the procedure not checked before scheduling/billing
  • Similar procedure billed twice within the payer's defined period

Recommended Next Steps

  1. Verify the payer's frequency limitation for this procedure
  2. Appeal with clinical justification if repeat service was medically necessary

Related Codes

CARC CO-151

More Denial Codes to Check

CARC CO-29 CARC CO-18 CARC CO-210 RARC MA23 RARC N81 RARC M51 RARC M123 RARC M72 RARC N76 RARC M27

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

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