DenialCode.com
Free Healthcare Billing Reference

Medical Denial Code
Lookup Tool

Instantly find explanations, causes, and resolution steps for every Claim Adjustment Reason Code (CARC) and Remark Code.

Popular: CO-16 CO-45 PR-1 CO-29 CO-4 CO-45 Remark Code
4,524+
Denial Codes
5
Group Code Types
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Always Free
2024
Updated CARC List
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What Are Denial Codes?

Claim Adjustment Reason Codes (CARC) explain why a payment differs from what was billed. Every 835 ERA and EOB uses these standardized codes.

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How to Use This Tool

Search any code or keyword above. Each page includes the full description, common causes, resolution steps, and appeal guidance.

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Remark Codes Too

Each denial code page also links to a dedicated Remark Code page — optimized for providers searching for ERA remark code context.

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Appeal Your Denial

Most denials are reversible. Our guides walk you through the correct steps to correct, resubmit, or formally appeal each denial type.

Claim Adjustment Reason Codes
Showing 4,524 codes — click any code for full explanation and resolution steps
Code Description View
N69Alert: PPS (Prospective Payment System) code changed by claims processing system.Details →
N690Alert: This reversal is due to a provider submitted appeal.Details →
N690Alert: This reversal is due to a provider submitted appeal.Details →
N691Alert: This reversal is due to a patient submitted appeal.Details →
N691Alert: This reversal is due to a patient submitted appeal.Details →
N692Alert: This reversal is due to an incorrect rate on the initial adjudication.Details →
N692Alert: This reversal is due to an incorrect rate on the initial adjudication.Details →
N693Alert: This reversal is due to a cancellation of the claim by the provider.Details →
N693Alert: This reversal is due to a cancellation of the claim by the provider.Details →
N694Alert: This reversal is due to a resubmission/change to the claim by the provider.Details →
N694Alert: This reversal is due to a resubmission/change to the claim by the provider.Details →
N695Alert: This reversal is due to incorrect patient financial responsibility information…Details →
N695Alert: This reversal is due to incorrect patient financial responsibility information…Details →
N696Alert: This reversal is due to a Coordination of Benefits or Third Party Liability Re…Details →
N696Alert: This reversal is due to a Coordination of Benefits or Third Party Liability Re…Details →
N697Alert: This reversal is due to a payer's retroactive contract incentive program adjus…Details →
N697Alert: This reversal is due to a payer's retroactive contract incentive program adjus…Details →
N698Alert: This reversal is due to non-payment of the health insurance premiums (Health I…Details →
N698Alert: This reversal is due to non-payment of the health insurance premiums (Health I…Details →
N699Payment adjusted based on the Physician Quality Reporting System (PQRS) Incentive Pro…Details →
N699Payment adjusted based on the Physician Quality Reporting System (PQRS) Incentive Pro…Details →
N7Alert: Processing of this claim/service has included consideration under Major Medica…Details →
N7Alert: Processing of this claim/service has included consideration under Major Medica…Details →
N70Consolidated billing and payment applies.Details →
N70Consolidated billing and payment applies.Details →
N700Payment adjusted based on the Electronic Health Records (EHR) Incentive Program.Details →
N700Payment adjusted based on the Electronic Health Records (EHR) Incentive Program.Details →
N701Payment adjusted based on the Value-based Payment Modifier.Details →
N701Payment adjusted based on the Value-based Payment Modifier.Details →
N702Decision based on review of previously adjudicated claims or for claims in process fo…Details →
N702Decision based on review of previously adjudicated claims or for claims in process fo…Details →
N703This service is incompatible with previously adjudicated claims or claims in process.Details →
N703This service is incompatible with previously adjudicated claims or claims in process.Details →
N704Alert: You may not appeal this decision but can resubmit this claim/service with corr…Details →
N704Alert: You may not appeal this decision but can resubmit this claim/service with corr…Details →
N705Incomplete/invalid documentation.Details →
N705Incomplete/invalid documentation.Details →
N706Missing documentation.Details →
N706Missing documentation.Details →
N707Incomplete/invalid orders.Details →
N707Incomplete/invalid orders.Details →
N708Missing orders.Details →
N708Missing orders.Details →
N709Incomplete/invalid notes.Details →
N709Incomplete/invalid notes.Details →
N71Your unassigned claim for a drug or biological, clinical diagnostic laboratory servic…Details →
N71Your unassigned claim for a drug or biological, clinical diagnostic laboratory servic…Details →
N710Missing notes.Details →
N710Missing notes.Details →
N711Incomplete/invalid summary.Details →
N711Incomplete/invalid summary.Details →
N712Missing summary.Details →
N712Missing summary.Details →
N713Incomplete/invalid report.Details →
N713Incomplete/invalid report.Details →
N714Missing report.Details →
N714Missing report.Details →
N715Incomplete/invalid chart.Details →
N715Incomplete/invalid chart.Details →
N716Missing chart.Details →

Understanding Medical Claim Denial Codes

Medical claim denial codes — formally known as Claim Adjustment Reason Codes (CARC) — are standardized identifiers maintained by the X12 standards body and used across all Medicare, Medicaid, and commercial payer 835 electronic remittance transactions. When a claim is paid at a different amount than billed, at least one CARC code must accompany the remittance advice to indicate the specific reason for the adjustment.

The most frequently encountered codes include CO-16 (missing or invalid claim information), CO-45 (charges exceeding fee schedule), PR-1 (patient deductible), CO-29 (timely filing deadline exceeded), and CO-4 (procedure code inconsistent with modifier). Each represents a distinct, actionable reason that has a defined resolution pathway.