M123Remark Code (RARC)Active
M123 Remark Code - Drug Information Issues Explained
The M123 remark code indicates that there is a missing, incomplete, or invalid name, strength, or dosage for a drug that was provided. This remark supplements an adjustment already noted by a Claim Adjustment Reason Code, clarifying that the drug information is insufficient for proper processing.
How It Relates to the Denial
The M123 remark typically accompanies adjustment reason codes related to drug claims or medication services. Together, they signal that the claim cannot be processed due to issues with the medication details provided.
Common Scenarios
1A claim for a prescription medication was submitted, but the remittance shows an adjustment due to missing drug details.
→ The M123 remark points to the need for accurate drug information, indicating that the claim cannot be fully processed until the correct name, strength, or dosage is provided.
2A provider billed for an injectable medication, but the remittance response includes an adjustment noting issues with the drug description.
→ The M123 remark highlights that the claim was adjusted because the name, strength, or dosage of the injectable drug was not properly documented.
3A claim for a compounded medication was submitted, but the remittance indicates an adjustment with a note about drug information.
→ In this case, the M123 remark suggests that the adjustment is due to the compounded medication lacking complete or valid details regarding its components.
What to Do
- Review the claim to ensure all drug information is complete and accurate, including name, strength, and dosage.
- Correct any missing or invalid information and prepare to resubmit the claim.
What to Check
- The claim form submitted to verify the accuracy of the drug details.
- The pharmacy records or notes to confirm the drug's name, strength, and dosage as dispensed.
- Any communication from the payer regarding the specific drug information requirements.