2015 PQRS Remittance Advice/EOB Code Clarifications

Posted on February 9, 2015 by Mark Sanna

N620 If you billed the PQRS codes with $0.00. It has also replaced the N365 code.
CO 246 N572 code: If you billed the PQRS codes with $0.01 correctly.
N365 has been deactivated. Each QDC line-item will be listed with the N365 denial remark code.
Claim Adjustment Reason Code CARC 246 with Group Code CO or PR and with RARC N572 indicates that this procedure is not payable unless non-payable reporting codes and appropriate modifiers are submitted.
In addition to N572, the remittance advice will show Claim Adjustment Reason Code CO or PR 246 (This non-payable code is for required reporting only).
CARC 246 reads: This non-payable code is for required reporting only.
EPs who bill with a charge of $0.01 on a QDC item will receive CO 246 N572 on the EOB.

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