Remittance Advice code42

FSC Billed Included in Other Procedure

Remittance Advice explanatory code

What this reference tells you

42 is a Remittance Advice explanatory code. It helps interpret how the Ministry adjudicated or adjusted a submitted claim.

Suggested review path

Remove the included FSC or appeal only when the record supports a separately payable procedure.

Before using this code

Confirm the current Ministry publication, the patient and provider context, the date of service, and documentation supporting the claim. A searchable reference does not establish eligibility or guarantee payment.

Suggested review path

Before using this code

Take the code from reference to reviewed claim.