M51RARCAppealability depends
What it means
The procedure code on the claim is missing, incomplete, or not valid.
Official X12 description
“Missing/incomplete/invalid procedure code(s).”
Typical cause
A coding error on the provider's claim.
What to do next
- 1Ask your provider's billing office to correct the procedure code and resubmit.
- 2This is a billing correction, not usually a patient-owed amount.