M80
Not covered when performed in the same session as another service

What M80 means

The payer doesn't pay this service in the same session as a previously processed service.

How to fix it

1. Review bundling and same-session rules
2. Appeal with documentation if separate sessions

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.