M46Remark Code (RARC)Active
M46 Remark Code - Missing/Invalid Occurrence Span Codes
The M46 remark code indicates that the claim has missing, incomplete, or invalid occurrence span code(s). This remark serves to clarify the issues that led to the adjustment described by the accompanying reason code on the remittance advice.
How It Relates to the Denial
The M46 remark code typically appears alongside claim adjustment reason codes that indicate a denial or reduction due to issues with occurrence span codes. This combination signals that the payer requires valid occurrence span codes for proper processing.
Common Scenarios
1A claim for physical therapy services was submitted but was denied due to missing occurrence span codes.
→ The M46 remark code points to the need for valid occurrence span codes, suggesting that the biller must correct or provide this information to resubmit the claim.
2An outpatient surgery claim was adjusted with a reduction in payment, and the remittance included the M46 remark code.
→ The presence of the M46 remark indicates that the adjustment was made because the occurrence span codes were either invalid or not included, prompting the need for correction.
3A claim for home health care services was returned with a denial and the M46 remark code listed.
→ The M46 remark code signals that the payer found issues with the occurrence span codes, which must be rectified for the claim to be reconsidered.
What to Do
- Review the occurrence span codes submitted with the claim for accuracy and completeness.
- Correct any missing or invalid occurrence span codes and prepare to resubmit the claim.
What to Check
- The specific occurrence span codes listed on the claim form.
- The payer's guidelines regarding required occurrence span codes for the billed services.
- The accompanying reason code on the remittance advice that corresponds with the M46 remark code.