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B15 Denial Code — Qualifying service/procedure has not been received/adjudicated – Denial Journal
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CARC

B15

CARC Coding/Modifier
Quick Facts
Code
B15
Type
CARC
Category
Coding/Modifier
Status
Active

Qualifying service/procedure has not been received/adjudicated

What Does This Code Mean?

This service requires a related, qualifying service to be billed and adjudicated first, and that hasn’t happened yet.

Common Causes

  • Claims submitted out of the expected sequence
  • Related qualifying service billed to a different claim or not yet processed

Recommended Next Steps

  1. Confirm whether a related qualifying service needs to be billed or finalized first
  2. Resubmit once the qualifying service has been adjudicated

Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.

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