RARC N56 Active Supplemental

RARC N56: Procedure Code Invalid for Service or Date

What This Means

The procedure code submitted is not valid for the services billed or the date of service. This often happens when a code has been retired, replaced, or is not appropriate for the specific service rendered. Verify the correct CPT/HCPCS code for the service and date, update the claim, and resubmit.

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

Commonly Paired With

RARC N56 commonly appears alongside these CARC denial codes:

Code Name
CO-112 Service Not Furnished Directly or Not Documented
OA-133 Service Line Pending Further Review
CO-148 Incomplete or Missing Information from Another Provider
CO-172 Provider Specialty Adjustment (also OA-172, PR-172)
CO-173 Service/Equipment Not Prescribed by Physician (also OA-173)
CO-181 Invalid Procedure Code on Date of Service (also OA-181)
CO-200 Expenses Incurred During Lapse in Coverage (also PR-200, OA-200)

Sources

  1. X12.org