N679Remark Code (RARC)Active
N679 Remark Code - Incomplete/Invalid Post-Operative Images
The N679 remark code indicates that the claim includes post-operative images or visual field results that are either incomplete or invalid. This remark supplements an adjustment already described by a Claim Adjustment Reason Code, providing additional context for the denial or reduction in payment.
How It Relates to the Denial
The N679 code typically accompanies adjustment reason codes related to insufficient documentation or inadequate clinical information. The combination signals that the payer requires clearer or complete imaging or test results to support the billed services.
Common Scenarios
1A claim for a post-operative visit included visual field tests, but the payer denied the claim due to insufficient documentation.
→ The N679 remark indicates that the visual field results submitted were either incomplete or not valid, prompting the need for better documentation to support the claim.
2A claim for an eye surgery procedure was submitted with accompanying post-operative images, but the remittance shows a denial for incomplete images.
→ The N679 remark means that the payer found the post-operative images inadequate, and this needs to be addressed for proper reimbursement.
3A provider submitted a claim for a procedure that requires visual field testing, but the results provided were deemed invalid by the payer.
→ The N679 code suggests that the visual field results did not meet the necessary criteria, and the claim may be reconsidered with valid results.
What to Do
- Review the post-operative images or visual field results submitted with the claim for completeness and validity.
- Resubmit the claim with corrected or additional documentation if the images or results were indeed incomplete or invalid.
What to Check
- The imaging or test results submitted with the claim to ensure they meet the standard requirements.
- The medical record notes to confirm that proper post-operative assessments were documented.
- The Claim Adjustment Reason Code on the remittance to understand the primary reason for the adjustment.