RARC M15 Active Supplemental

RARC M15: Separately Billed Services Combined Into One Procedure

What This Means

The payer has bundled multiple services you billed separately because they are considered components of a single procedure. This is not an error on your part but an explanation of how payment was calculated. Review the remittance to confirm the combined reimbursement is correct and adjust your records accordingly.

Disclaimer
This content is for informational purposes only. Always verify against your payer contracts and current coding guidelines.

Commonly Paired With

RARC M15 commonly appears alongside these CARC denial codes:

Code Name
CO-54 Multiple Physicians/Assistants Not Covered →
CO-60 Outpatient Services Not Covered Near Inpatient Stay →
CO-69 Day Outlier Amount →
CO-70 Cost Outlier Adjustment →
CO-89 Professional Fees Removed from Charges →
CO-97 Bundled Service — Not Paid Separately (also PR-97) →
CO-128 Newborn Services in Mother's Allowance →
CO-134 Technical Fees Removed →
CO-150 Documentation Does Not Support Level of Service →
CO-182 Invalid Procedure Modifier →
CO-189 Unlisted/NOC Code Used When Specific Code Exists →
CO-190 Payment Included in SNF Qualified Stay Allowance →
CO-232 Institutional Transfer DRG Difference (also OA-232) →
CO-234 Procedure Not Paid Separately (Bundled) (also OA-234) →
CO-A5 Medicare PPS Capital Cost Outlier Amount (also OA-A5) →
CO-B14 Only One Visit Per Physician Per Day Covered (also OA-B14) →
CO-B16 New Patient Qualifications Not Met (also OA-B16) →
CO-B20 Service Furnished by Another Provider (also OA-B20) →
CO-B7 Provider Not Certified/Eligible (also PR-B7, OA-B7) →
CO-P14 Benefit Included in Another Same-Day Service →

Sources

  1. X12.org