Optum360 coding books logo
    Contact Us   (7 a.m.–7 p.m. CST)
  Home > Coding Central Articles > Coding Central Articles  
Coding Central
Coding Central Home
Inside Track to ICD-10
Coding Central Articles
Code This!
Case Studies
Chargemaster Corner

Articles for:
March 27, 2018

Spring OPPS Update Released

The Centers for Medicare and Medicaid Services (CMS) summarized the spring update to the outpatie... Learn More

Therapy Caps Repealed and Payment for Therapy Assistant Services Lowered

Medicare payment caps on outpatient therapy were permanently repealed effective January 1, 2018. ... Learn More

OIG Update Work Plan, Studies Cardiac Device Credits

In March, the Office of Inspector General (OIG) posted several updates to its existing Work Plan,... Learn More

View Article Archive

To subscribe, paste this link into your preferred feedreader, or click on one of the buttons below:

Medical Coding News Archives

CMS Updates Remittance Advice Remark Codes

November 25, 2008:

The latest update to the remittance advice remark codes (RARC) includes four new codes, one deactivated code, and one modified code. The update is effective January 5th. 

The RARC list is updated three times a year—in early March, July, and November. These codes are maintained by the RARC Committee. This committee meets every month and has established the following schedule:
Request received in October—January:

  • Published in early March.
  • Deactivation becomes effective October
  • Any new code or modification become effective when published

Request received in February—May:

  • Published in early July
  • Deactivation becomes effective January
  • Any new code or modification becomes effective when published

Request received in June—September:

  • Published in early November
  • Deactivation becomes effective April
  • Any new code or any modification becomes effective when published

With this update the committee has deactivated one code: 

D22 Reimbursement was adjusted for the reasons to be provided in separate correspondence. (Note: To be used for workers' compensation only)—Temporary code to be added for timeframe only until 01/01/2009. Another code to be established and/or for 06/2008 meeting for a revised code to replace or strategy to use another existing code

Four new codes were added.

222 Exceeds the contracted maximum number of hours/days/units by this provider for this period. This is not patient specific.
Start date: 6/1/2008

Adjustment code for mandated federal, state or local law/regulation that is not already covered by another code and is mandated before a new code can be created.
Start date: 6/1/2008


Patient identification compromised by identity theft. Identity verification required for processing this and future claims.
Start date: 6/1/2008


Penalty or interest payment by payer (Only used for plan to plan encounter reporting within the 837)
Start date: 6/1/2008

One code was modified

60 Charges for outpatient services with this proximity to inpatient services are not covered. This change to be effective 1/1/2009: Charges for outpatient services are not covered when performed within a period of time prior to or after inpatient services.

All payers, not only CMS, use these codes to inform providers via the remittance advice of changes or modifications that affect claim processing, adjudication, and payment. 

Deborah C. Hall
Clinical/Technical Editor


Sign in to
Your Account
Forgot your username?
Forgot your password?
Don't have an account?
It's easy to create one.

Promo code

Have a promotional source code? Enter it here:

What is this?
Shop our catalog
Request or check out the electronic version of our latest catalog.

Medical Coding Books Winter 2018 Catalog