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N72 - Denial Journal
RARC

N72

What This Code Means

PPS (Prospective Payment System) code changed by medical reviewers; not supported by clinical records.

Common Causes

  • Requested documentation not submitted with the original claim
  • Documentation sent but not received by the payer
  • Wrong document type sent

How to Resolve or Appeal

  1. Confirm exactly what documentation the payer needs
  2. Submit it through the payer's preferred channel and confirm receipt
  3. Resubmit or request reprocessing once documentation is on file

More Denial Codes to Check

CARC CO-252 An attachment/other documentation is required to adjudicate this claim/service CARC CO-163 Attachment/other documentation referenced on the claim was not received RARC MA64 CARC CO-D6 CARC CO-B12 RARC N99 CARC OA-271 CARC CO-D19 RARC N28

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

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