Applicable Messages for NTIOLs

60.1 - Applicable Messages for NTIOLs (Rev. 3650, Issued: 11-10-16, Effective: 02-10-17, Implementation: 02-10-17) Contractors shall return as unprocessable any claims for NTIOLs containing Q1003 alone or with a code other than one of the procedure codes listed in 40.3. The contractor shall use the following remittance advice messages and associated codes when returning claims under this policy. This CARC/RARC combination is compliant with CAQH CORE Business Scenario Three. Group Code: CO CARC: 16 RARC: M67 MSN: N/A Contractors shall deny payment for Q1003 if services are furnished in a facility other than a Medicare-approved ASC. The contractor shall use the following remittance advice messages and associated codes when denying claims under this policy. This CARC/RARC combination is compliant with CAQH CORE Business Scenario Three. Group Code: CO CARC: 58 RARC: N/A MSN: 16.2 Contractors shall deny payment for Q1003 if billed by an entity other than a Medicare- approved ASC. The contractor shall use the following remittance advice messages and associated codes when denying claims under this policy. This CARC/RARC combination is compliant with CAQH CORE Business Scenario Three. Group Code: CO CARC: 170 RARC: N/A MSN: 33.1 Contractors shall deny payment for Q1003 if submitted for payment past the discontinued date (after the 5-year period, or after February 26, 2011). The contractor shall use the following remittance advice messages and associated codes when rejecting/denying claims under this policy. This CARC/RARC combination is compliant with CAQH CORE Business Scenario Three. Group Code: CO CARC: 27 RARC: N/A MSN: 21.11 A/B MACs (B) shall deny payment for Q1003 if services are furnished in a facility other than a Medicare-approved ASC. The contractor shall use the following remittance advice messages and associated codes when denying claims under this policy. This CARC/RARC combination is compliant with CAQH CORE Business Scenario Three. Group Code: CO CARC: 58 RARC: N/A MSN: 16.2