RARC M76 Active Supplemental
RARC M76: Missing or Invalid Diagnosis or Condition
What This Means
The diagnosis or condition information on the claim is missing, incomplete, or invalid. This often means an ICD code is absent, outdated, or does not match the services billed. Review the claim for correct and current diagnosis codes, verify they support the procedures performed, and resubmit with the corrected information.
Disclaimer
This content is for informational purposes only. Always verify against your payer contracts and current coding guidelines. Commonly Paired With
RARC M76 commonly appears alongside these CARC denial codes:
| Code | Name | |
|---|---|---|
| CO-50 | Non-Covered Services / Medical Necessity Denial | → |
| CO-56 | Procedure / Treatment Not Deemed Effective | → |
| CO-96 | Non-Covered Charges (also PR-96, OA-96) | → |
| CO-107 | Related or Qualifying Service Not Identified | → |
| CO-135 | Interim Bills Cannot Be Processed | → |
| CO-146 | Diagnosis Code Invalid for Date of Service | → |
| CO-172 | Provider Specialty Adjustment (also OA-172, PR-172) | → |
| CO-240 | Diagnosis Inconsistent with Birth Weight (also OA-240) | → |
| CO-261 | Procedure Inconsistent with Patient History (also OA-261) | → |