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N95 - Denial Journal
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RARC

N95

RARC Coding/Modifier
Quick Facts
Code
N95
Type
RARC
Category
Coding/Modifier
Status
Active

This provider type/specialty may not bill this service

What Does This Code Mean?

The payer’s records indicate a provider of this type or specialty isn’t permitted to bill the specific service or procedure code.

Common Causes

  • Service requires a specific specialty designation not on file
  • Provider's taxonomy code entered incorrectly on the claim

Recommended Next Steps

  1. Verify the correct taxonomy code for the rendering provider
  2. Confirm payer policy on which specialties may bill this code
  3. Correct and resubmit, or bill under a qualifying provider if applicable

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

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