N755Remark Code (RARC)Active
N755 Remark Code - Missing/Invalid ICD Indicator
The N755 remark code indicates that there is a missing, incomplete, or invalid ICD indicator associated with the claim. This remark supplements an adjustment reason code, providing additional context on why the claim may have been denied or adjusted due to coding issues.
How It Relates to the Denial
The N755 remark code typically accompanies adjustment reason codes related to coding errors or insufficient information in the claim submission. This combination signals that the payer requires clarification or correction regarding the ICD indicator used on the claim.
Common Scenarios
1A provider submitted a claim for a patient visit with a primary diagnosis code but received a remittance indicating a denial due to coding issues.
→ The N755 remark code suggests that the ICD indicator is either missing or not valid, prompting the biller to review the coding submitted for accuracy.
2A claim for a surgical procedure was billed with an incomplete set of diagnosis codes, and the remittance returned a denial with an accompanying adjustment reason code for coding errors.
→ The presence of the N755 remark code indicates that the ICD indicator does not meet the payer’s requirements, signaling a need to correct the diagnosis information.
3A claim for a routine screening was submitted, but the remittance advised an adjustment due to an invalid ICD indicator, with N755 noted on the explanation of benefits.
→ The N755 remark highlights that the ICD indicator associated with the claim does not comply with the necessary guidelines, which may affect the payment.
What to Do
- Review the claim for completeness of the ICD indicator.
- Correct any missing or invalid ICD indicators as necessary before resubmission.
- Ensure that all diagnosis codes are appropriately linked to the services billed.
What to Check
- The claim submission details for the ICD indicator used.
- The payer's coding guidelines for ICD indicators.
- The explanation of benefits (EOB) for any accompanying adjustment reason codes.