Remittance advice remark code
Remark code N115 meaning
RARC N115: The decision was based on a Medicare Local Coverage Determination (LCD).
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- Remark code
- RARC N115
- Short name
- Decision based on a Local Coverage Determination
- Plain meaning
- The decision was based on a Medicare Local Coverage Determination (LCD).
- Kind
- Adds detail to the reason code on the same line.
Plain-English summary written by Rivvi. X12 owns the RARC list and its exact wording, which is not reproduced here. Read it on the X12 RARC list (list dated July 1, 2026, checked October 23, 2026). This page does not decide how a claim is paid.
What to check before resubmitting
- Look up the LCD and its article for the code in the Medicare Coverage Database.
- Check the covered diagnosis codes and documentation rules.
Reason codes it often comes with
Related remark codes
Related pages
Questions
What does remark code N115 mean?
The decision was based on a Medicare Local Coverage Determination (LCD). This is Rivvi's plain-English summary of RARC N115. X12's exact wording is on x12.org.
What should I do about N115?
Look up the LCD and its article for the code in the Medicare Coverage Database. Check the covered diagnosis codes and documentation rules.
Is N115 a denial?
A remark code adds detail to the reason code on the same line. The reason code (CARC) and its group code decide what was denied or adjusted. It is often paired with reason codes 50, 11, 167.
What is the difference between a RARC and a CARC?
A remittance advice remark code (RARC) adds detail to a claim adjustment reason code (CARC). The CARC says why the line was adjusted. The RARC often says what to fix.