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RARC
N65
RARC
Coding/Modifier
Quick Facts
Code
N65
Type
RARC
Category
Coding/Modifier
Status
Active
Procedure code or procedure rate count cannot be determined, or was not on file, for the date of service/provider
What Does This Code Mean?
The payer’s system has no rate on file for this code, provider, and date combination.
Common Causes
- New or recently updated code not yet loaded into the payer's fee schedule
- Provider's contract terms don't include a rate for this code
Recommended Next Steps
- Confirm with the payer whether the code should have a rate on file
- Resubmit once the rate is loaded, or escalate to contracting
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Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.