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RARC
M97
RARC
General
Quick Facts
Code
M97
Type
RARC
Category
General
Status
Active
What Does This Code Mean?
Not paid to practitioner when provided to patient in this place of service. Payment included in the reimbursement issued the facility.
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.