GetMax

Remittance advice remark code

M76
Missing, incomplete or invalid diagnosis

What M76 means

A diagnosis code is missing, invalid or not specific enough.

How to fix it

  1. Use a valid, billable ICD-10-CM code
  2. Check the diagnosis pointers on each line

Check the remark code (RARC) that came with the denial and the payer's own policy, since rules vary by payer and plan. This is a plain-English summary written by GetMax; the official code text is published by X12 at x12.org/codes.

Prevent it next time

Most denials are caused before the claim is sent. See 12 ways to reduce claim denials, or let our denial management team work them for you.

Other codes

All denial codes →

Let us work your denials.

We triage every denial by code and payer, fix or appeal it, and stop it repeating.

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