How To Fix Remark Code M593 (RARC) | Common Reasons, Next Steps & How To Avoid It
Remark Code N386 means that the decision regarding coverage was based on a National Coverage Determination (NCD). This code is used to indicate that the coverage determination for a specific item or service is provided by an NCD. It is important to have access to the NCD policy to understand the coverage details. If web access is not available, contacting the contractor for a copy of the NCD is recommended.
1. Description
Remark Code N386 indicates that the decision regarding coverage was based on a National Coverage Determination (NCD). The official description states: ‘This decision was based on a National Coverage Determination (NCD). An NCD provides a coverage determination as to whether a particular item or service is covered.’ The NCD policy provides detailed information about the coverage determination for the specific item or service.
2. Common Reasons
- Access to NCD policy: The most common reason for Remark Code N386 is the need to access the NCD policy to understand the coverage details for a specific item or service.
3. Next Steps
- Visit the CMS website: To access the NCD policy, visit the CMS website at www.cms.gov/mcd/search.asp. This website provides a search function to find the specific NCD related to the item or service in question.
- Contact the contractor: If web access is not available, contacting the contractor is recommended. The contractor can provide a copy of the NCD policy upon request.
4. How To Avoid It
- Stay informed about NCD policies: It is important for medical coders to stay updated on the NCD policies related to the items or services they are coding. Regularly checking the CMS website for any updates or changes is recommended.
- Ensure access to web resources: Having access to the internet and the CMS website is crucial for quickly accessing the NCD policies when needed.
- Maintain communication with contractors: Establishing a good relationship with the contractors and keeping their contact information handy can help in obtaining copies of NCD policies if web access is not available.
5. Example Cases
- Case 1: A claim for a specific medical device is denied with Remark Code N386. The healthcare provider needs to access the NCD policy to understand the coverage determination for that particular device.
- Case 2: A claim adjustment occurs due to Remark Code N386, indicating that the coverage decision was based on an NCD. The medical coder needs to review the NCD policy to ensure accurate coding and billing.
Source: Remittance Advice Remark Codes
