Browse all standardized Remark Codes (RARC) used on Medicare, Medicaid, and commercial payer remittance advice (835 ERA / EOB). Each code includes its RA835 mapping, adjustment group, reason code, and a dedicated resolution guide.
Browse Claim Adjustment Reason Codes — the codes that explain why a payment was reduced or denied.
| Remark Code | Description | RA835 Code | Group | Reason Code | |
|---|---|---|---|---|---|
| X773 | CELLULAR THERAPY IS A NON-COVERED SERVICE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X774 | PROLOTHERAPY IS A NON-COVERED SERVICE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X775 | EDETATE DISODIUM, AND ITS RELATED ADMINISTRATIOM IS A NON-COVERED SERVICE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X776 | LUMBAR ARTIFICIAL DISC REPLACEMENT IS NOT COVERED WHEN PATIENT'S IS GREATER THAN 60 YEARS. |
N129
Not eligible due to the patient's age. |
CO | 6 | View → |
| X777 | WHEELCHAIR SEATING CODE BILLED IS NON-COVERED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X778 | E/M SERVICES BILLED WITH CRITICAL CARE SERVICE WILL BE DENIED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X779 | DIAGNOSTIC ENDOCARDIAL ELECTRICAL STIMULATION IS NOT COVERED BY CMS WHEN BILLED WITHOUT AN APPROPRI… |
M76
Missing/incomplete/invalid diagnosis or condition. |
CO | 50 | View → |
| X78 | PARTIAL HOSPITALIZATION CLAIM SPANS MORE THAN 3 DAYS WITH INSUFFICIENT NUMBER OF DAYS MEETING PARTI… | — | CO | 16 | View → |
| X780 | APPLICATION OF MODALITY TO ONE OR MORE AREAS; ELECTRICAL STIMULATION ; EACH 15 MINUTES IS NOT COVER… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X781 | ELECTRICAL STIMULATION/THERAPY IS NOT COVERED BY CMS IF BILLED IN NON-COVERED PLACE OF SERVICE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X782 | HYPERBARIC OXYGEN REQUIRES A VALID DIAGNOSIS |
M76
Missing/incomplete/invalid diagnosis or condition. |
CO | 16 | View → |
| X783 | NON-PHYSICIANS BILLING WITH MODIFIERS 80, 81 OR 82 WILL BE DENIED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X784 | PER MEDICARE'S ANATOMICAL MEDICALLY UNLIKELY EDITS POLICY, TOTAL UNITS BILLED FOR PROCEDURE WITH AN… |
N362
The number of Days or Units of Service exceeds our acc… |
CO | 222 | View → |
| X785 | LABOR & DELIVERY SERVICE IS NOT COVERED BY CMS WHEN BILLED IN CONJUNCTION WITH GLOBAL PACKAGE VIA C… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X786 | C-SECTION DELIVERY SERVICE IS NOT COVERED BY CMS WHEN BILLED MORE THAN ONCE ON THE SAME DATE OF SER… |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X787 | PER CMS GUIDELINES, CO-SURGEON CLAIMS REQUIRE A VALID MODIFIER 62. REVIEW HISTORICAL CLAIM BILLED . |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X788 | PER CMS GUIDELINES, TEAM-SURGEON CLAIMS REQUIRE A VALID MODIFIER 66. REVIEW HISTORICAL CLAIM BILLED |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X789 | PER AMA GUIDELINES, INITIAL NEONATAL AND PEDIATRIC CRITICAL CARE WILL BE DENIED WHEN THE PATIENT HA… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X79 | ONLY MENTAL HEALTH EDUCATION AND TRAINING SERVICES PROVIDED | — | CO | 96 | View → |
| X790 | PROFESSIONAL RADIOLOGY SERVICES BILLED BY A PROVIDER OTHER THAN AN ANESTHESIOLOGIST, CARDIOLOGIST, … |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X791 | DURABLE MEDICAL EQUIPMENT OVER $300 REQUIRES PRE AUTH. |
N758
Adjusted based on the prior authorization decision. |
CO | 197 | View → |
| X792 | DROP MEDICALLY UNLIKELY EDIT FOR EXCLUDED MODIFIER. |
N657
This should be billed with the appropriate code for th… |
CO | 96 | View → |
| X793 | DROP MODIFIER 26 REQUIREMENT WHEN POS IS 24. |
N657
This should be billed with the appropriate code for th… |
CO | 96 | View → |
| X794 | DROP BUNDLED SERVICE EDIT FOR PROCEDURE CODE 99050. |
M15
Separately billed services/tests have been bundled as … |
CO | 97 | View → |
| X795 | A MULTIPLE PROCEDURE REDUCTION OF APPLIES TO PROCEDURE CODE. | — | CO | 45 | View → |
| X796 | ANESTHESIA CODE REQUIRES AN APPROPRIATE MODIFIER. |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| X797 | REVENUE CODE REQUIRES PROCEDURE CODE. |
N657
This should be billed with the appropriate code for th… |
CO | 16 | View → |
| X798 | CLINIC VISIT SHOULD BE BILLED ON PROFESSIONAL CLAIM |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X8 | THE PRINCIPAL DIAGNOSIS IS A DUPLICATE OF THE SECONDARY DIAGNOSIS |
N702
Decision based on review of previously adjudicated cla… |
CO | 18 | View → |
| X80 | EXTENSIVE MENTAL HEALTH SERVICES PROVIDED ON DAY OF TYPE T PROCEDURE |
M51
Missing/incomplete/invalid procedure code(s). |
CO | 181 | View → |
| X800 | REVENUE CODE INVALID FOR ILLINOIS MEDICAID HOSPITAL PROVIDERS |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X801 | TAXONOMY REIMBURSES AT PERCENTAGE OF PHYSICIAN FEE SCHEDULE. | — | CO | 45 | View → |
| X802 | A MULTIPLE PROCEDURE REDUCTION APPLIES TO PROCEDURE CODE. | — | CO | 45 | View → |
| X803 | ASSISTANT SURGEON MODIFIER INDICATES A 20% REDUCTION OF THE STATE MAXIMUM SHOUD BE APPLIED. | — | CO | 45 | View → |
| X804 | ASSISTANT SURGEON MODIFIER NOT APPLICABLE FOR PROCEDURE CODE. LINE ITEM NOT REIMBURSED. |
N519
Invalid combination of HCPCS modifiers. |
CO | 4 | View → |
| X805 | ALLOWANCES FOR SURGERY PERFORMED UNDER THE SURGICAL TEAM CONCEPT WILL BE DETERMINED ON A BY REPORT … |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X806 | TEAM SURGERY MODIFIER NOT APPLICABLE FOR PROCEDURE CODE. LINE ITEM NOT REIMBURSED. |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| X807 | DME CODE REQUIRES A PURCHASE OR RENTAL MODIFIER |
N519
Invalid combination of HCPCS modifiers. |
CO | 4 | View → |
| X808 | PROCEDURE CODE 01996 (DAILY MANAGEMENT OF EPIDURAL OR SUBARACHNOID DRUG ADMINISTRATION) CANNOT BE B… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X809 | SACRAL NERVE NEUROTRANSMITTER IMPLANT BILLED WITH A VOIDING DYSFUNCTION DIAGNOSIS IS DENIED WHEN A … |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X81 | TERMINATED BILATERAL PROCEDURE OR TERMINATED PROCEDURE WITH UNITS GREATER THAN ONE |
N430
Procedure code is inconsistent with the units billed. |
CO | 115 | View → |
| X810 | E/M SERVICE IS NOT PERMITTED IN THIS POS . |
M77
Missing/incomplete/invalid/inappropriate place of serv… |
CO | 16 | View → |
| X811 | ONLY ONE E&M CODE IS ALLOWED PER DOS PER FACILITY FOR THE SAME REVENUE CODE. A HIGHER-DOLLAR-APC E&… |
N519
Invalid combination of HCPCS modifiers. |
CO | 4 | View → |
| X812 | SURGICAL DRESSING MUST BE BILLED WITH A1-A9 MODIFIER |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| X813 | COLON CANCER SCREENING IS NOT COVERED FOR PATIENTS UNDER THE AGE OF 50. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X814 | E&M SERVICE BILLED ON THE SAME DATE AS ELECTROMYOGRAPHY, NERVE CONDUCTION TESTS OR REFLEX TESTS WIL… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X815 | EVALUATION AND MANAGEMENT SERVICES BILLED THE SAME DATE AS ACUPUNCTURE SERVICES WILL BE DENIED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X816 | INITIAL MEDICATION THERAPY MANAGEMENT SERVICE FOR A NEW PATIENT BILLED WITHIN A YEAR OF A PREVIOUS … |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X817 | INPATIENT ONLY, NON-SEPARATE PROCEDURE CPT BILLED BY PROFESSIONAL PROVIDERS WITH ANY PLACE OF SERVI… |
M2
Not paid separately when the patient is an inpatient. |
CO | 97 | View → |
| X818 | G0446 (ANNUAL, FACE-TO-FACE IBT FOR CVD) IS LIMITED TO ONE (1) UNIQUE VISIT PER YEAR. |
M90
Not covered more than once in a 12 month period. |
CO | 151 | View → |
Remark Codes (RARC) are used on the 835 ERA and paper EOB to provide supplemental information about a claim adjustment. They always accompany a CARC (denial code) and clarify the reason for payment differences.
A Denial Code (CARC) explains why payment was adjusted. A Remark Code (RARC) provides additional context or instructions. Both appear together on remittance — look for the CARC first, then the RARC for detail.
Search by code number or keyword, or filter by adjustment group (CO, PR, OA…). Click any code to see its full RA835 mapping, common causes, step-by-step resolution guide, and appeal tips.