M65Remark Code (RARC)Active
M65 Remark Code - One Charge Per Claim Rule
The M65 remark code indicates that only one interpreting physician's charge is permissible for each claim related to a purchased diagnostic test. If there are multiple interpreting physicians involved, you must file separate claims for each one to ensure proper processing.
How It Relates to the Denial
The M65 remark typically accompanies adjustment reason codes that address issues with multiple interpreting physician charges on a single claim. This combination signals to the biller that the payer has identified a billing error regarding how charges for interpreting services were submitted.
Common Scenarios
1A facility submitted a claim for a diagnostic test that included charges from two interpreting physicians.
→ The M65 remark suggests that the payer is indicating only one interpreting physician charge is allowed per claim, requiring the facility to submit separate claims for each physician.
2A provider billed for a diagnostic service with multiple interpretations by different physicians under one claim submission.
→ In this case, the M65 remark serves as a notification that separate claims need to be filed for each interpreting physician, as the payer only accepts one charge per claim.
3An office billed for a diagnostic test with an interpreting physician charge included, but the claim was returned with an adjustment for multiple physicians listed.
→ The presence of the M65 remark highlights the payer's requirement that each interpreting physician must be billed on an individual claim, pointing out a billing oversight.
What to Do
- File separate claims for each interpreting physician involved in the diagnostic test.
- Ensure that only one interpreting physician charge is included per claim submission.
What to Check
- Review the claim submission for multiple interpreting physician charges.
- Check the payer's guidelines regarding billing for purchased diagnostic tests.
- Verify the details of each interpreting physician involved in the claim.