N393Remark Code (RARC)Active
N393 Remark Code - Missing Progress Notes Explanation
The N393 remark code indicates that the payer requires progress notes or a report that was not included with the claim submission. This remark is supplemental and typically appears alongside a Claim Adjustment Reason Code that reflects a denial or reduction due to missing documentation.
How It Relates to the Denial
N393 usually accompanies reason codes related to insufficient documentation or incomplete claims. The combination signals that the lack of progress notes or reports is the reason for the adjustment made on the claim.
Common Scenarios
1A claim for a physical therapy session was submitted, but the remittance response includes N393.
→ The presence of N393 indicates that the payer is looking for the corresponding progress notes that detail the patient's treatment, which were not provided with the initial claim.
2A mental health service claim was denied with an adjustment reason code, and N393 appears in the remittance advice.
→ This remark suggests that the payer requires a detailed report or progress notes to support the services rendered, which were missing from the documentation submitted.
3A surgical claim was processed, and the remittance shows an adjustment along with N393.
→ Here, N393 points out that the payer needs the surgical progress notes to justify the services billed, indicating that the claim is incomplete without this documentation.
What to Do
- Obtain the missing progress notes or report that detail the services provided.
- Attach the progress notes to a resubmission of the claim if necessary.
- Ensure that any future claims include all required documentation to avoid similar issues.
What to Check
- Review the claim submission for completeness regarding progress notes.
- Check the payer's documentation requirements for the specific service type.
- Verify any previous communications with the payer regarding documentation requests.