Remark code

M51 denial code

A procedure code is missing, incomplete or not valid.

A correction, not an appeal

A remark code is not the denial. The adjustment code says the claim was reduced. This one says why. You need both to know what to send back.

What to do

Check the code against the DATE of service rather than today, because code sets change every January. Correct and resubmit.

Codes it appears with

M51 commonly rides alongside these. Our reading, not a published mapping: X12 publishes no adjustment-to-remark table.

CodeWhat that one means
CO 16 Something the payer needed was missing or wrong on the claim.
CO 4 The procedure code and the modifier do not agree.

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