>

N381 remark code - Code Description. ANSI. Remittance. Remark Codes. (*Jurisdictional code). ANSI

This new Article comprises Subregulatory Guidance for the issuance of update

1.6 Claim Adjustment Reason Codes (CARC)/ Remittance Advice Remark Codes (RARC) A claim adjustment reason code (CAS segment) is used to communicate that an adjustment was made at the claim/service line, and provides the reason for why the payment differs from what was billed.deny: icd9/10 proc code 9 value or date is missing/invalid deny: icd9/10 proc code 10 value or date is missing/invalid deny: icd9/10 proc code 11 value or date is missing/invalid eob incomplete-please resubmit with reason of other insurance denial : deny deny deny deny: ex6m ex6n : 16 16be billed to subsequent payer. Refund to patient if collected. (Use only with Group code OA) • The following Remittance Advice Remark Codes under Inpatient Adjudication Information (MIA) or Outpatient Adjudication Information (MOA): o N781 - Alert: No deductible may be collected as patient is a Medicaid/Qualified Medicare Beneficiary.Dec 15, 2020 · View common reasons for Reason\Remark Code 96 and N425 denials, the next steps to correct such as a denial, and how to avoid it in the future. If we determine that a claim – or a portion of a claim – is not payable, we will provide the appropriate reason code in an explanatory letter we send to you. The chart below contains Cigna's not-payable reason codes, along with their descriptions, specific supporting policy and coverage positions, and clarifying examples. Reason CodeAnswer: If the claim doesn't appear in the list after searching, here are a few things to try: If your doctor submits your claim, and it has been less than 15 days since the date of service, check My Account again in a few days.; If it has been at least 15 days since the date of service, contact your doctor's office to make sure they submitted the claim.SSI DISABILITY DENIAL CODES . Z-1800 . CODE REASON FOR DENIAL N01 Countable Income exceeds Title XVI federal benefit rate N02 Recipient is inmate of public institution N03 Recipient is outside of the U.S. N04 Non-excludable resources exceed Title XVI limitations N05 Unable to determine if eligibility existsN381. 294 Denied. Dates of service must be itemized. Correct and resubmit. Remittance Advice Remark and Claims Adjustment Reason Code … Oct 1, 2015 … […] ...Remittance advice remark codes (RARC) are used to provide additional explanation for an adjustment already described by a claim adjustment reason code (CARC) or to convey information about remittance processing. Each RARC identifies a specific message as shown in the remittance advice remark code list. There are two types of RARCs, supplemental ...the Remittance Advice Remark Code or NCPDP Reject Reason Code.) M136 Missing/incomplete/invalid indication that the service was supervised or evaluated by a physician. CO 0015 CLAIM/DETAIL DETAIL DENIED. PROCEDURE IS LIMITED TO THE FOLLOWING A1 Claim/Service denied. This change to be effective 6/1/2007: At least one Remark Code The reason and remark code sets must be used to report payment adjustments in remittance advice transactions. • The reason codes are also used in some coordination-of-benefits transactions. • The RARC list is maintained by the Centers for Medicare & Medicaid Services (CMS), and used by all payers. WebTrillium EOB Denial Codes Revised 08.20.2015 . Reason ID HIPAA Code Remark Code Reason Description . 1163 59 Rendering provider for add on code billed is different than rendering provider on primary CPT code. 1165 125 N381 Readju-Auto RetroMedicaid 1166 94 Processed in Excess of charges. Start: Mar 15, 2022.Complete and accurate procedure code, modifier and diagnosis code usage at the time of billing ensures accurate processing of correct coding initiative edits. Wecan only use the primary modifier submitted with the alternate procedure code for outpatient billing. We encourage you to purchase current copies of CPT, HCPCS and ICD code books. If you see the procedure codes list 99381 to 99387 (New patient Initial comprehensive preventive medicine), it should bee coded based on the patient's age. 99381 coded when patient's age younger than 1 year. 99382 coded when patient's age 1 through 4 years. 99383 age 5 through 11 years. 99384 age 12 through 17 years.044. UD. P. UM Referral Denial. Referral request was denied. 073. GD. P. Deny All Claim Lines Deny all claim lines. 341. P. Wrong Provider ...MCR – 835 Denial Code List. PR – Patient Responsibility – We could bill the patient for this denial however please make sure that any other rejection reason not specified in the EOB. Same denial code can be adjustment as well as patient responsibility. For example PR 45, We could bill patient but for CO 45, its a adjustment and we can’t ...Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update – JA6901 . Related CR Release Date: April 23, 2010 . Date Job Aid Revised: May 7, 2010. Effective Date: July 1, 2010. Implementation Date: July 6, 2010. Key Words.Claim Denial Resolution Tool. This tool provides the myCGS message for the claim denial and lists possible causes and resolutions. Enter the ANSI Reason Code from your Remittance Advice into the search field below.Remittance Advice Remark Codes (RARCs) and Claim Adjustment Reason Codes (CARCs), effective July 1, 2010. Be sure billing staff are aware of these changes. Background . The reason and remark code sets must be used to report payment adjustments in remittance advice transactions. The reason codes are also used in somedenial/EOP; COB 180 Days from the Primary Payer’s EOP: Paper Claim Billing Tips ... CLM05-3 (claim frequency type code) must indicate one of the following qualifier codes: –“7” –REPLACEMENT (replacement of prior claim) –“8” –VOID (void/cancel of prior claim) ... Excluded Contract Term for Service DENY N381. Alert: Consult our ...Mar 25, 2021 · Remark and reason code messages below the patient claim detail explaining any payments/nonpayments. If you have questions, please call Physician Services at 1-800-624-1110. Payment Summary. This is a summary of the gross claim amount, late interest, account receivables (A/R) applied and the check amount. assigns the codes when the amount billed is less than the amount paid. Providers need to understand the codes to understand payment, payment adjustments and/or rebilling. The codes also help ProviderOne staff to research and answer claims questions. Adjustment Reasons . RA adjustment reason/remark code/description Possible causes Provider actionCode. Description. Reason Code: 204. This service/equipment/drug is not covered under the patient's current benefit plan. Remark Code: N130. Consult plan benefit documents/guidelines for information about restrictions for this service.Jun 20, 2011 · Remark code - N357, M119, M123, M2, M50, M54 & N129, N130, N19 45 Charges exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement. (Use Group Codes PR or CO depending upon liability). SUBMITTED CHARGE ON 340B CLAIM TOO HIGH 50 These are non-covered services because this is not deemed a `medical necessity' by the payer. Claim Adjustment Reason Codes and Remittance Advice Remark Codes are required for use in remittance advice and coordination of benefit (COB) transactions. X12N 835 Health Care Remittance Advice Remark Codes CMS is the national maintainer of the remittance advice remark code list, one of the code lists Apr 10, 2022 · Medicaid Claim Denial Codes. 1 Deductible Amount. 2 Coinsurance Amount. 3 Co-payment Amount. 4 The procedure code is inconsistent with the modifier used or a required modifier is missing. 5 The procedure code/bill type is inconsistent with the place of service. 6 The procedure/revenue code is inconsistent with the patient’s age. 1) Adjustment Reason Codes are 1 to 3 characters and are all numeric or begin with A or B. 2) Remittance Advice (RA) Remark Codes are 2 to 5 characters and begin with N, M, or MA. 4) Some deny EX Codes have an equivalent Adjustment Reason Code, but do not have a RA Remark Code.Remark: N346: New: Missing/incomplete/invalid oral cavity designation code: Not Medicare Initiated: Remark: N347: New: Your claim for a referred or purchased service cannot be paid because payment has already been made for this same service to another provider by a payment contractor representing the payer. Medicare Initiated: Remark: MA100 ...The provider billed the NDC code in place of the NDC units. EDIT – 322 DENIAL CODE (01 CLAIMS – WORKED BY EXAMINERS) Denial Code (Batch Process) EOB Code State Encounter Edit Code Short Description Long Description I74 I50 I57 322 NDC unit of measurement is invalid Must have a valid UOM F2, GR, ML, UN and should be valid for the NDC code.Remark and reason code messages below the patient claim detail explaining any payments/nonpayments. If you have questions, please call Physician Services at 1-800-624-1110. Payment Summary. This is a summary of the gross claim amount, late interest, account receivables (A/R) applied and the check amount. The …Reason Code: 45. Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement. Remark Codes: N88. Alert: This payment is being made conditionally. An HHA episode of care notice has been filed for this patient. When a patient is treated under a HHA episode of care, consolidated billing requires that certain …EX Code CARC RARC DESCRIPTION Type EX*1 95 N584 DENY: SHP guidelines for submitting corrected claim were not followed DENY EX*2 A1 N473 DENY: …Oct 6, 2023 · View the most common claim submission errors below. To access a denial description, select the applicable Reason/Remark code found on Noridian's Remittance Advice. Select the Reason or Remark code link below to review supplier solutions to the denial and/or how to avoid the same denial in the future. The Washington Publishing Company publishes ... ICD-10 Codes Description A18.53 Tuberculous chorioretinitis B39.4 Histoplasmosis capsulati, unspecified C69.30 - C69.32 Malignant neoplasm of unspecified choroid - Malignant neoplasm of left choroid C71.0 Malignant neoplasm of cerebrum, except lobes and ventricles C71.1 Malignant neoplasm of frontal lobe C71.2 Malignant neoplasm of …Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update . Note: This article was revised on October 13, 2015, to correct a code in the Modified Codes – RARC table on pages 3-4. The code of N109 is now shown in that table, instead of the incorrect code of M109.Any remark code with an "alert" in from of the description is informational. Was this associated with CO45? If so, they are just tell you that you can refer to the contractual agreement if you have further inquiries as to how it was processed.The provider billed the NDC code in place of the NDC units. EDIT – 322 DENIAL CODE (01 CLAIMS – WORKED BY EXAMINERS) Denial Code (Batch Process) EOB Code State Encounter Edit Code Short Description Long Description I74 I50 I57 322 NDC unit of measurement is invalid Must have a valid UOM F2, GR, ML, UN and should be valid for the NDC code.Anyone who has worked in any portion of the medical field has had to learn at least a little bit about CPT codes. These Current Procedural Terminology codes are used to document and report medical procedures. Take a look at this guide to le...106 Incidental Incidental service (s) to primary procedure do not require separate reimbursement - The patient is not liable for payment. 107 Obsolete or invalid procedure code Obsolete or invalid procedure code. 108 Multiple unit or multiple modifier denial. Multiple unit or multiple modifier denial.PK !t6Z¦z „ [Content_Types].xml ¢ ( ¬TÍN 1 ¾›ø ›^ [ð`Œaá€zT ð j;° ݶé oïlAb B \¶Ù¶óýLg¦?\7®XAB |%zeW àu0ÖÏ+ñ1}íŠ Iy£\ðP ...remittance advice remark code list. This code list is used by reference in the ASC X12 N transaction 835 (Health Care Claim Payment/Advice) version 004010A1 Implementation Guide (IG). Under HIPAA, all payers, including Medicare, are required to use reason and remark codes approved by X12 recognized code set maintainers instead ofCMS is the national maintainer of the remittance advice remark code list, one of the code lists included in the ASC X12 835 (Health Care Claim Payment/Advice) and 837 (Health Care Claim, including COB)version 4010A1 Implementation Guides (IG).The reason and remark code sets must be used to report payment adjustments in remittance advice transactions. • The reason codes are also used in some coordination-of-benefits transactions. • The RARC list is maintained by the Centers for Medicare & Medicaid Services (CMS), and used by all payers.denial/EOP; COB 180 Days from the Primary Payer’s EOP: Paper Claim Billing Tips ... CLM05-3 (claim frequency type code) must indicate one of the following qualifier codes: –“7” –REPLACEMENT (replacement of prior claim) –“8” –VOID (void/cancel of prior claim) ... Excluded Contract Term for Service DENY N381. Alert: Consult our ...Codes and standards information and processes. Codes and standards Find procedural guidelines and standards for general and specialty coding, preventive services, National Provider Identifier (NPI) instructions, and available government programs below.CO 45 Denial Code. CO 45 Denial Code – Charges exceed the fee schedule/maximum allowable or contracted/legislated fee arrangement. This CO 45 Denial code is denoted on the EOB/ERA from an insurance company, when the insurance plan contractually allowed amount is lesser than physician billed charges. So it’s typically reference to the ...The June 2004 updates for the X12N 835 Health Care Remittance Advice Remark Codes and the X12N835 Health Care Claim Adjustment have been posted and are available on ...Health Information Network. HIPAA-AS requirements do not permit payers to display proprietary codes (internal reason, adjustment and denial codes) on the 835 ERA. The questions and answers below provide information regarding code changes that will be implemented in November and December 2008. You may access the . CARCs and RARCs November 2008 ...What is the remark code for a drug claim? Notes: Use code 16 and remark codes if necessary. Claim lacks the name, strength, or dosage of the drug furnished. Notes: Use code 16 and remark codes if necessary. Claim/service denied because information to indicate if the patient owns the equipment that requires the part or supply was missing. Notes ...alabama medicaid denial codes. explanation of benefit (eob) codes eob code eob description hipaa adjustment reason code hipaa remark code 201 invalid pay-to provider number 125 n280 202 billing provider id in invalid format 125 n257 203 recipient i.d. number missing 31 n382 206 prescribing provider number not in valid format 16 n31 ...New Codes – RARC Code Modified Narrative Effective Date. N753 Missing/Incomplete/Invalid Attachment Control Number. 07/01/2015 N754 Missing/Incomplete/Invalid Referring Provider or Other Source Qualifier on the 1500 Claim Form. 07/01/2015 N755 Missing/Incomplete/Invalid ICD Indicator on the 1500 Claim …The below provider facing HIPAA codes below will not change with the new CareSource ex code creation.) •External Remit Remark Code (visible on the 835/EOP) - N26 "Attachment/other documentation referenced on the claim was not received" •Claim Adjustment Reason Code (visible on 835/EOP) - Missing itemized bill/statement"4.1 Top 10 Claim Adjustment Reason Codes The Blue Cross of Idaho claim adjustment reason codes conforms to the three-digit standard and do not overlap industry standard codes. The following table contains Blue Cross of Idaho’s 10 most common adjustment reasons. Top 10 Claim Adjustment Reason Codes Table Code Reason Code DescriptionInclude any diagnosis code changes with your request. RARC N115. Narrative This decision was based on a Local Coverage Determination (LCD). An LCD provides a guide to assist in determining whether a particular item or service is covered. ... Claim Denial vs. Rejection Denial. Appeal Rights Yes. Patient Responsibility Yes — If …Eligibility Code. The Alien Eligibility Code supports the Citizen/Alien Indicator on the client’s record. If the information used to support certain Citizen/Alien Indicators is missing or needs updating, the Alien Eligibility Code is left blank. DHCS is making this change because CO 96/MA43 depicts the reason the claim wasNotes: Use code 16 with appropriate claim payment remark code. D18: Claim/Service has missing diagnosis information. Start: 01/01/1995 | Stop: 06/30/2007 Notes: Use code 16 with appropriate claim payment remark code. D19: Claim/Service lacks Physician/Operative or other supporting documentation Start: 01/01/1995 | Stop: 06/30/2007Payment was adjusted because part of the service was considered bundled. Major Medical Adjustment. (CARC 102).In the world of online shopping, consumers are always on the lookout for ways to save money. Coupon codes and promo codes are two popular methods that shoppers use to get discounts on their purchases.106 Incidental Incidental service (s) to primary procedure do not require separate reimbursement - The patient is not liable for payment. 107 Obsolete or invalid procedure code Obsolete or invalid procedure code. 108 Multiple unit or multiple modifier denial. Multiple unit or multiple modifier denial.Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update – JA6901 . Related CR Release Date: April 23, 2010 . Date Job Aid Revised: May 7, 2010. Effective Date: July 1, 2010. Implementation Date: July 6, 2010. Key Words.Jul 23, 2023 · Value code 48 exceeds 13.0 or value code 49 exceeds 39.0 and HCPCS codes Q4081or J0882 are present but either modifer ED or EE are not present. 1636 A 72X Type of Bill is submitted with revenue code 0821, 0831 0841, 0851, 0880,or 0881 and covered charges or units greater than 1. Remittance Advice Remark Codes (RARCs) are used to provide additional explanation for an adjustment already described by a Claim Adjustment Reason Code (CARC) or to convey information about remittance processing. Each RARC identifies a specific message as …The provider billed the NDC code in place of the NDC units. EDIT – 322 DENIAL CODE (01 CLAIMS – WORKED BY EXAMINERS) Denial Code (Batch Process) EOB Code State Encounter Edit Code Short Description Long Description I74 I50 I57 322 NDC unit of measurement is invalid Must have a valid UOM F2, GR, ML, UN and should be valid for the NDC code.Adj. Reason Code: Adj. Reason Code Description: Remark Code: Remark Code Descripton: Exception Code Descripton: 18 : Duplicate claim/service. N347: Your claim for a referred or puchased service cannot be paid because payment has already been made for this same service: EXACT DUP OR MANUAL PRICE: 18 : Duplicate …Permanent Redirect. The document has moved here.The Remittance Advice Remark Codes are maintained by CMS and updated three times per year. The June 2004 updates for the X12N 835 Health Care Remittance Advice Remark Codes and the X12N835 Health Care Claim Adjustment have been posted and are available on line at: ...Denial Code CO 96 – Non-covered Charges. admin 11/27/2018. Whenever claim denied as CO 96 – Non Covered Charges it may be because of following reasons: Diagnosis or service (CPT) performed or billed are not covered based on the LCD. Services not covered due to patient current benefit plan. It may be because of provider contract …CLP02 - BCBSF will only send status codes 1, 2, 4, and 22. Note: Claim Status Code “4” will only be used to indicate that the patient is not recognized as a member of any BCBSF product. Claim Status Code “22” is the only way to identify a reversal for 5010. CLP06 - BCBSF will only send the following indicator codes:least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.) Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. M76 Missing/incomplete/invalid diagnosis or condition. CO p04 Aug 6, 2015 · Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update . Note: This article was revised on October 13, 2015, to correct a code in the Modified Codes – RARC table on pages 3-4. The code of N109 is now shown in that table, instead of the incorrect code of M109. MCR – 835 Denial Code List. PR – Patient Responsibility – We could bill the patient for this denial however please make sure that any other rejection reason not specified in the EOB. Same denial code can be adjustment as well as patient responsibility. For example PR 45, We could bill patient but for CO 45, its a adjustment and we can’t ...A national administrative code set for providing either claim-level or service-level Medicare-related messages that cannot be expressed with a Claim Adjustment Reason Code. This code set is used in the X12 835 Claim Payment & Remittance Advice transaction. Learn more about medical coding and billing, training, jobs and certification.Code. Description. Reason Code: 204. This service/equipment/drug is not covered under the patient's current benefit plan. Remark Code: N130. Consult plan benefit documents/guidelines for information about restrictions for this service.Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.) M76 Missing/incomplete/invali d diagnosis or condition. 488 Diagnosis code(s) for the services rendered. 00011 Recipient Not Eligible On Service Date 177 Patient has not met the …least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.) Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. M76 Missing/incomplete/invalid diagnosis or condition. CO p04Recently, a number of entities requested new remark codes as a response to modification - a remark code must be used when using one of the following Claim Adjustment Reason Codes 16, 17, 96, 125, and A1.Denial code CO-45 is an example of a claim adjustment reason code. This code got its start as early as 01/01/1995. The “CO” in this instance stands for “Contractual Obligation”. These contractual obligations stem from the valid contract held between healthcare providers and insurers. A contract between these two entities can have a ...Edit/Error Knowledge Base (EEKB) Search Tool. FIND EDIT INFORMATION to crosswalk the X12 Codes (Claim Adjustment Reason Code-CARC; Remit Adjustment Reason ...4 the procedure code is inconsistent with the modifier used n519: invalid combination of hcpcs modifiers. 4: the procedure code is inconsistent with the modifier used n56: procedure code billed is not correct/valid for the services billed or the date of service billed. 4 the procedure code is inconsistent with the modifier used: n572Reason/Remark Code Lookup. Use the Code Lookup to find the narrative for ANSI Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC). You can also search for Part A Reason Codes. Claim Adjustment Reason Codes explain why a claim was paid differently than it was billed. Remittance Advice Remark Codes provide additional ... vanessamoldovan. What does denial N381 mean. Does this mean we cant bill patient for service performed? Any remark code with an "alert" in from of the description is informational. Was this associated with CO45? If so, they are just tell you that you can refer to the contractual agreement if you have further inquiries as to how it was processed.Pra1 denial code n381. Non-covered charge(s). At least one Remark Code must be provided (may be comprised of either the Remittance Advice Remark Code or NCPDP Reject Reason Code.) – Payment adjusted due to a submission/billing error(s).٠٥‏/٠٤‏/٢٠١٨ ... N381 – Consult our contractual ... At least one Remark code must be provided (may be comprised of either the Remittance Advice. Remark Code or ...National Correct Coding Initiative (NCCI) Inpatient Only Procedure Codes and Information. Updated 4/13/22 The Patient Protection and Affordable Care Act ((H.R. 3590) Section 6507 (Mandatory State Use of National Correct Coding Initiative (NCCI)) requires State Medicaid programs to incorporate “NCCI methodologies” into their claims processing systems.Codes and standards information and processes. Codes and standards Find procedural guidelines and standards for general and specialty coding, preventive services, National Provider Identifier (NPI) instructions, and available government programs below.A: You are receiving this reason code when a claim is submitted and the procedure code(s) are billed with the wrong modifier(s), or the modifier(s) is no longer valid for the date of service billed. A clear understanding of Medicare’s rules and regulations is necessary in order to assign the appropriate modifier(s) correctly.Remark and reason code messages below the patient claim detail explaining any payments/nonpayments. If you have questions, please call Physician Services at 1-800-624-1110. Payment Summary. This is a summary of the gross claim amount, late interest, account receivables (A/R) applied and the check amount. The …7. Click on the Florida Blue Claim Code Mapping to EDI CARC/RARC Codeslink to access the document 8. You can print the document or save it as a PDF file. The screen shot below shows where you’ll find the document link in PASSPORT. If you need help accessing the Florida Blue PASSPORT web portal, please call Availity at (800) 282-4548.4 the procedure code is inconsistent with the modifier used n519: invalid combination of hcpcs modifiers. 4: the procedure code is inconsistent with the modifier used n56: procedure code billed is not correct/valid for the services billed or the date of service billed. 4 the procedure code is inconsistent with the modifier used: n572 Effective immediately, paper claims that do not include this information (in Item 11 will be rejected as unprocessable with the following remark codes: MA130: Your claim contains incomplete and/or invalid information, and no appeal rights are afforded because the claim is unprocessable.Feb 25, 2022 · Provide all documentation that supports the medical necessity of the service as outl, be billed to subsequent payer. Refund to patient if, The provider billed the NDC code in place of the NDC units. EDIT – 322 DENIAL , Are you looking to enhance your coding skills? Whether you’re a beginner or a seaso, Jan 1, 1995 · Usage: This code is to be used by providers/payers providing Coordination , Eligibility Code. The Alien Eligibility Code supports the Citizen/Alien Indicator on the cl, Mar 15, 2022 · 079 Line Item Denial Override. 07D Benefits for this service are limited to two ti, Denial code CO16 is a “Contractual Obligation” cla, ٠٥‏/٠١‏/٢٠١٩ ... The error code you will receive can actual, IKEA is a popular home decor and furniture retailer that offers a, Code is missing Multiple Ambulance ONE CALL claims denying f, Medicare deploys the N350 remark code for a missin, Blue Cross Blue Shield Denial Codes -commercial Ins, Enter Medicare carrier code 620, Part A Mutual of -, Denial Reason, Reason/Remark Code (s) • PR-204: This service/equipm, Denial Code Description Denial Language 28 Dental This clai, • Verification that all diagnosis and procedure codes are valid , least one Remark Code must be provided (may be comprised of eith.