RARC N572 Active Supplemental

RARC N572: Non-Payable Reporting Codes or Modifiers Required

What This Means

The procedure cannot be paid because required non-payable reporting codes and their associated modifiers were not submitted. This often applies to quality reporting programs such as PQRS/MIPS where specific G-codes or quality measure codes must accompany the claim. Add the required reporting codes and modifiers, then resubmit the claim.

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

Commonly Paired With

RARC N572 commonly appears alongside these CARC denial codes:

Code Name
CO-4 Procedure Code / Modifier Mismatch (also OA-4)
CO-224 Patient Identity Compromised (also OA-224)

Sources

  1. X12.org