Medicare Claims Processing Manual (Pub. 100-04), Ch. 22 § 60.4
Requests for Additional Codes
60.4 - Requests for Additional Codes
(Rev. 3288, Issued: 07-02-15, Effective: 08-03-15, Implementation: 08-03-15)
The CMS has a national responsibility for maintenance of the remittance advice remark
codes and the Claim Adjustment Status Code Maintenance Committee maintains the
claim adjustment reason codes. Requests for new or modification or deactivation of
RARCs and CARCs should be sent to a mail box set up by CMS:
Remittance_Advice.CMS.HHS.GOV.
The MACs should send their requests to this mail box for any change in CARC, RARC
or any code combination. Requests for codes must include the suggested wording for the
new or revised message, and an explanation of how the message will be used and why it
is needed or a justification for the request.
To provide a summary of changes introduced in the previous 4 months, a code update
instruction in the form of a CR is issued. These CRs will establish the deadline for
Medicare shared system and MAC changes to complete the reason and/or remark code
updates that had not already been implemented as part of a previous Medicare policy
change instruction.