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Coding/Modifier - Denial Journal

← All Denial Codes

Coding/Modifier Denial Codes

Browse 175 CARC and RARC codes filed under Coding/Modifier.

768
Total Codes
383
CARC Codes
385
RARC Codes

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Browse denial codes by category.

Authorization 42 codes Coding/Modifier 175 codes Coordination of Benefits 20 codes Documentation 24 codes Duplicate/Timely Filing 4 codes Eligibility 30 codes General 364 codes Informational Alert 45 codes Medical Necessity 18 codes Non-Covered 46 codes

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Enter a CARC, RARC, or keyword above to find related denial information.

Try: CO-45 · duplicate · eligibility · authorization

All Codes in This Category

CARC A1 Claim/service denied — generic code, use only when no more specific code applies Coding/Modifier → CARC B15 Qualifying service/procedure has not been received/adjudicated Coding/Modifier → CARC B16 'New patient' qualifications were not met Coding/Modifier → CARC CO-10 Diagnosis inconsistent with the patient's gender Coding/Modifier → CARC CO-11 Diagnosis inconsistent with the procedure Coding/Modifier → CARC CO-12 Diagnosis inconsistent with the provider type Coding/Modifier → CARC CO-14 The date of birth follows the date of service Coding/Modifier → CARC CO-146 Diagnosis was invalid for the date(s) of service reported Coding/Modifier → CARC CO-148 Coding/Modifier → CARC CO-16 Claim lacks information needed for adjudication Coding/Modifier → CARC CO-167 This diagnosis is not covered — missing/incomplete/invalid diagnosis Coding/Modifier → CARC CO-17 Coding/Modifier → CARC CO-175 Coding/Modifier → CARC CO-181 Procedure code was invalid on the date of service Coding/Modifier →

Denial Workflow

Denial Received → Identify Code → Understand Reason → Check Claim → Correct / Appeal → Resubmit
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