N928Remark Code (RARC)Active
N928 Remark Code - Missing/Incomplete X-ray Documentation
The N928 remark code indicates that the claim has been denied due to missing, incomplete, or invalid bitewing or periapical x-ray documentation. This remark is meant to clarify the specific reason for the adjustment described by the accompanying reason code, pointing directly to issues with the x-ray submission.
How It Relates to the Denial
Typically, the N928 remark code accompanies adjustments related to dental procedures that require x-ray documentation. The combination signals that the payer found the x-ray documentation insufficient to support the billed services.
Common Scenarios
1A dental office submitted a claim for a tooth extraction that required bitewing x-rays for approval. The remittance returned with an adjustment indicating a denial due to insufficient documentation.
→ In this case, the N928 remark code suggests that the x-ray images submitted were either missing, incomplete, or did not meet the payer's criteria, leading to the denial of the claim.
2A provider billed for a periodontal evaluation that necessitated periapical x-rays. The payment remittance included a reason code for denial along with the N928 remark code.
→ The N928 remark clarifies that the denial is specifically due to issues with the periapical x-ray documentation, indicating that the provider needs to address the x-ray submission.
3A claim for dental services was submitted, but the remittance showed an adjustment for lack of required x-rays, accompanied by the N928 remark code.
→ The presence of the N928 remark indicates that the payer found the bitewing or periapical x-rays either missing or invalid, necessitating a review of the submitted documentation.
What to Do
- Review the claim submission to identify the missing or incomplete x-ray documentation.
- Obtain valid bitewing or periapical x-rays if they were not submitted or were insufficient.
- Resubmit the claim with the corrected x-ray documentation attached.
What to Check
- The x-ray images submitted with the claim to ensure they meet the payer's requirements.
- The claim adjustment reason code to understand the context of the denial.
- Any documentation guidelines provided by the payer regarding x-ray submissions.