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 | |
|---|---|---|---|---|---|
| X865 | AN NDC CODE WITHOUT A CPT CODE IS NOT PERMITTED. |
N657
This should be billed with the appropriate code for th… |
CO | 16 | View → |
| X866 | DROP NCCI (VCE.49950/VCE.49951) FOR PROCEDURE CODES 59425 OR 59426 WITH APPROPRIATE MODIFIER. |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| X867 | PHYSICAL STATUS MODIFIER MUST BE THE FIRST MODIFIER ON THE CLAIM. |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| X868 | REVENUE CODE IS INVALID FOR LTC PROVIDER. |
M50
Missing/incomplete/invalid revenue code(s). |
CO | 16 | View → |
| X869 | BEHAVIORAL HEALTH PROVIDER REQUIRES APPROPRIATE MODIFIER ON THE ENCOUNTER CODE. |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| X87 | TRANSFUSION OR BLOOD PRODUCT EXCHANGE WITHOUT SPECIFICATION OF BLOOD PRODUCT |
M84
Medical code sets used must be the codes in effect at … |
CO | 16 | View → |
| X870 | ENCOUNTER RATE CLINICS REQUIRE A DETAIL CODE. |
N657
This should be billed with the appropriate code for th… |
CO | 16 | View → |
| X871 | ENCOUNTER RATE CLINICS SHOULD BE BILLED AS A SINGLE DATE OF SERVICE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 16 | View → |
| X872 | REIMBURSEMENT FOR THIS SERVICE IS INCLUDED IN THE FQHC VISIT (G CODE). |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 97 | View → |
| X873 | DASA MUST BE BILLED ON TYPE OF BILL 86X OR 89X |
MA30
Missing/incomplete/invalid type of bill. |
CO | 282 | View → |
| X874 | INFERTILITY DIAGNOSES ARE NON COVERED FOR ILLINOIS MEDICAID |
M64
Missing/incomplete/invalid other diagnosis. |
CO | 96 | View → |
| X875 | MATERNITY/ANTEPARTUM CODE IS CONSIDERED GLOBAL BY HFS |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X876 | OCCURRENCE CODE 51 IS NO LONGER VALID. OCCURRENCE CODE 42 IS NOW REQUIRED. |
M45
Missing/incomplete/invalid occurrence code(s). |
CO | 16 | View → |
| X877 | NON-COVERED SERVICE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X878 | THERAPY MODIFIER REDUCES TO PERCENTAGE OF THE ALLOWED AMOUNT. |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| X879 | PROFESSIONAL CLAIM IS A POSSIBLE DUPLICATE OF CLAIM IN HISTORY. | — | CO | 18 | View → |
| X88 | OBSERVATION REVENUE CODE ON LINE ITEM WITH NON-OBSERVATION HCPCS CODE |
M50
Missing/incomplete/invalid revenue code(s). |
CO | 16 | View → |
| X880 | PROFESSIONAL CLAIM LINE IS A POSSIBLE DUPLICATE OF CLAIM LINE ID. | — | CO | 18 | View → |
| X881 | OUTPATIENT CLAIM IS A POSSIBLE DUPLICATE OF CLAIM IN HISTORY. | — | CO | 18 | View → |
| X882 | OUTPATIENT CLAIM LINE IS A POSSIBLE DUPLICATE OF CLAIM LINE IN HISTORY. (SAME CLAIM) | — | CO | 18 | View → |
| X883 | OUTPATIENT CLAIM LINE IS A POSSIBLE DUPLICATE OF CLAIM LINE. (HISTORICAL CLAIM) | — | CO | 18 | View → |
| X884 | INPATIENT CLAIM IS A POSSIBLE DUPLICATE OF CLAIM IN HISTORY. | — | CO | 18 | View → |
| X885 | THIS OP REVENUE CODE IS NOT ON THE LIST OF PAYABLE CODES SPECIFIED BY THE KENTUCKY MEDICAID BILLING… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X886 | DIAGNOSIS IS CONSIDERED AN ADDITIONAL CODE AND SHOULD NOT BE SUBMITTED AS PRIMARY. |
MA63
Missing/incomplete/invalid principal diagnosis. |
CO | 16 | View → |
| X887 | DISCREPANCY IN COVERED DAYS (VALUE CODE 80) AND UNITS BILLED ON ROOM AND BOARD REVENUE CODES (0100-… |
M49
Missing/incomplete/invalid value code(s) or amount(s). |
CO | 16 | View → |
| X888 | CHALLENGE INGESTION FOOD TESTING WILL BE DENIED IF BILLED WITH INAPPROPRIATE DIAGNOSIS CODE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 16 | View → |
| X889 | HYDROPHILIC CONTACT LENSES BILLED WITH ONLY NONDISEASED EYES WITH SPHERICAL AMETROPIA, REFRACTIVE A… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X89 | INPATIENT SEPARATE PROCEDURES NOT PAID |
M2
Not paid separately when the patient is an inpatient. |
CO | 96 | View → |
| X890 | DENY 90935-90940 (HEMODIALYSIS) WHEN BILLED AND THE ONLY DIAGNOSIS ON THE CLAIM IS SCHIZOPHRENIA. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X891 | DIABETES SCREENING TESTS BILLED WITH DIAGNOSIS Z131 ARE LIMITED TO ONE PER YEAR OR ONE EVERY SIX MO… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X892 | APPLYING PURCHASE PRICE BASED ON 10 MONTH RENTAL POLICY. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X893 | ADVANCED KNEE, ANKLE AND FOOT PROSTHETICS ARE DENIED UNLESS BILLED WITH K0-K4 FUNCTIONAL MODIFIERS. |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| X894 | NEW PATIENT VISITS ARE DENIED WHEN ANY SERVICE HAS PREVIOUSLY BEEN BILLED BY SAME FACILITY WITHIN T… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X895 | E&M SERVICES ARE DENIED WHEN BILLED ON SAME DOS AS THERAPEUTIC APHERESIS SERVICES . |
N20
Service not payable with other service rendered on the… |
CO | 96 | View → |
| X896 | A MAXIMUM OF 40 OCCURRENCES OF CPT 86003 (ALLERGEN SPECIFIC IGE; QUANTITATIVE OR SEMIQUANTITATIVE, … |
N435
Exceeds number/frequency approved /allowed within time… |
CO | 119 | View → |
| X897 | ANTEPARTUM CARE BY SAME PROVIDER GROUP |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X898 | SPECIAL SERVICES BY EMERGENCY MEDICINE PROVIDER |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 16 | View → |
| X899 | EXTERNAL COUNTERPULSATION (ECP) FOR SEVERE ANGINA - 1 |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 16 | View → |
| X9 | THE OTHER DIAGNOSIS IS A DUPLICATE OF THE SECONDARY DIAGNOSIS |
M64
Missing/incomplete/invalid other diagnosis. |
CO | 16 | View → |
| X90 | PARTIAL HOSPITALIZATION CONDITION CODE 41 NOT APPROVED FOR TYPE OF BILL |
M77
Missing/incomplete/invalid/inappropriate place of serv… |
CO | 5 | View → |
| X900 | ANNUAL DEPRESSION SCREENING (G0444) |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 16 | View → |
| X901 | EXTERNAL COUNTERPULSATION (ECP) FOR SEVERE ANGINA - 2 |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 16 | View → |
| X902 | IV HOME INFUSION WILL BE DENIED WHEN BILLED WITH MODIFIER SH OR SJ BUT THE CODE HAS NOT BEEN PREVIO… |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| X903 | DME MODIFIER IS SUBJECT TO PERCTANGE OF THE ALLOWED PURCHASE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 4 | View → |
| X904 | REIMBURSEMENT FOR AN ASSISTANT SURGEON WHEN BILLED BY THE PRIMARY SURGEON WILL BE DENIED. |
N450
Covered only when performed by the primary treating ph… |
CO | 54 | View → |
| X905 | STATUS INDICATOR N - ITEMS AND SERVICES PACKAGED INTO APC RATES |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 44 | View → |
| X906 | PROCEDURE IS UNRELATED TO THE PRINCIPAL DIAGNOSIS (APR-DRG) |
MA63
Missing/incomplete/invalid principal diagnosis. |
CO | 16 | View → |
| X907 | IF A PROVIDER SPECIALTY OTHER THAN 69 (CLINICAL LABORATORY-BILLING INDEPENDENTLY) BILLS A CLAIM WIT… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X908 | NDC BILLED IS NOT IN THE PROPER FORMAT. THE NDC MUST BE 11 DIGITS. (LINE LEVEL DENIAL) |
M119
Missing/incomplete/invalid/ deactivated/withdrawn Nati… |
CO | 16 | View → |
| X909 | NDC BILLED IS NOT IN THE PROPER FORMAT. THE NDC MUST BE 11 DIGITS. (CLAIM LEVEL DENIAL) |
M119
Missing/incomplete/invalid/ deactivated/withdrawn Nati… |
CO | 16 | 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.