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N676 Remark Code: Not on Outpatient Facility Schedule

N676 means the facility billed a service that does not qualify for payment under the Outpatient Facility Fee Schedule the payer applied. The service may be payable another way, such as on a professional claim or another schedule, or not payable to the facility at all.

Code: N676 (RARC N676)
Status: Active In use since July 15, 2013.
Code set: Remittance Advice Remark Codes (RARC)
Group codes: CO (Contractual Obligation): The facility charge is not paid under this schedule and is treated as the facility's adjustment. It is generally not billable to the patient.
Official description: Service does not qualify for payment under the Outpatient Facility Fee Schedule.
X12 Remittance Advice Remark Codes, retrieved September 25, 2026
Last verified: September 24, 2026 against the official X12 list.

What N676 means

An outpatient facility fee schedule lists which services a hospital outpatient department or ambulatory surgery center can be paid for, and how much. Services outside that list, or flagged as not payable to the facility, get no facility payment. N676 tells the facility its charge fell into that category.

Common sources are state workers’ compensation outpatient facility schedules and payer-specific outpatient schedules. The rules vary widely, so the first job is working out which schedule applied and why the service didn’t qualify.

Common causes

The service is professional-only, meaning the physician is paid, but no separate facility fee exists.
The schedule treats the service as inpatient-only, so it can’t be paid as an outpatient facility service.
The service is packaged into another outpatient service and has no separate payment.
The facility type billed, such as an ambulatory surgery center, isn’t eligible for that service under the schedule.
The bill type or revenue code routed the claim to the outpatient schedule when a different arrangement applied.

What to do

Identify the schedule and effective period the payer used, and look up the service’s status on it.
Check packaging. If the service is packaged, its cost is reflected in the payment for the main procedure, and no further action is needed.
Correct bill type or coding if they were wrong, and submit a replacement institutional claim under the payer’s rules.
Request reconsideration if the service qualifies on the schedule for your facility type and dates.
Coordinate with the physician’s billing so the professional side is billed correctly even if the facility side isn’t payable.

How to prevent it

Before scheduling outpatient procedures for payers with their own facility schedules, check the service’s status for your facility type. Keep the applicable schedule versions on hand, since statuses often change at annual updates.

Codes that may appear with N676

CO-96 (Non-covered charge(s).): Non-covered charge, with N676 identifying the outpatient facility schedule as the reason.
CO-171 (Payment is denied when performed/billed by this type of provider in this type of facility.): Payment is denied when performed or billed by this type of provider in this type of facility.

N673 (Reimbursement has been calculated based on an outpatient per diem or an outpatient factor and/or fee schedule amount.): The outpatient claim was priced by per diem, factor, or fee schedule amount rather than denied.
N643 (The services billed are considered Not Covered or Non-Covered (NC) in the applicable state fee schedule.): The service is listed as not covered in the state fee schedule.
CO-5 (The procedure code/type of bill is inconsistent with the place of service.): The procedure code or type of bill is inconsistent with the place of service.

N676 FAQ

Does N676 mean the service isn't covered at all?

Not necessarily. It means the facility can't be paid for it under this outpatient schedule. The professional component may still be payable on the physician's claim.

Is N676 specific to workers' compensation?

It is common where a state or payer has a named outpatient facility fee schedule, including some workers' compensation systems, but other payers with similar schedules can use it too.

What if the service is on the schedule?

Ask the payer to review it. The payer may have applied the wrong schedule year, bill type, or facility type.

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