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 | |
|---|---|---|---|---|---|
| Y553 | (CERCLAGE REMOVAL) WILL BE DENIED AS INCLUDED IN THE DELIVERY FEE, WHEN THE REMOVAL OF A CERCLAGE I… |
N55
Procedures for billing with group/referring/performing… |
CO | 16 | View → |
| Y554 | PROCEDURE CODE REQUIRES ICD-10 Z00.6 ALSO BE BILLED ON THE CLAIM. |
M76
Missing/incomplete/invalid diagnosis or condition. |
CO | 16 | View → |
| Y555 | DME CODE BILLED WITH MODIFIER WILL BE DENIED BECAUSE SAME EQUIPMENT HAS BEEN PURCHASED WITHIN PAST … |
N417
This service is allowed 1 time in a 5-year period. |
CO | 119 | View → |
| Y556 | (STERILE SALINE) BILLED WITH ORORPHARYNGEAL SUCTION CATHETER WHEN A TRACHEAL SUCTION CATHETER HAS N… |
N381
Alert: Consult our contractual agreement for restricti… |
CO | 16 | View → |
| Y557 | (MASTECTOMY BRA) WILL BE DENIED IF BREAST PROSTHESIS HAS NOT BEEN BILLED WITHIN THE PREVIOUS TWO (2… |
N381
Alert: Consult our contractual agreement for restricti… |
CO | 16 | View → |
| Y558 | () IS DENIED BECAUSE THE SAME PROCEDURE HAS BEEN RENDERED TO THE MEMBER ON WITHIN THE PREVIOUS FIVE… |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y559 | (DME REPAIR) IS DENIED BECAUSE THE MEMBER HAS DURABLE MEDICAL EQUIPMENT PURCHASE ON THE SAME SERVIC… |
M86
Service denied because payment already made for same/s… |
CO | 16 | View → |
| Y560 | (DME REPAIR) IS DENIED BECAUSE IT WAS BILLED WITH A FREQUENTLY SERVICED RENTAL ITEM APPENDED WITH M… |
MA114
Missing/incomplete/invalid information on where the se… |
CO | 16 | View → |
| Y561 | (POWER WHEELCHAIR ACCESSORY) IS DENIED BECAUSE POWER WHEELCHAIR WAS NOT FOUND IN CLAIM HISTORY WITH… |
MA114
Missing/incomplete/invalid information on where the se… |
CO | 151 | View → |
| Y562 | STATIONARY OXYGEN SYSTEM IS NOT COVERED BY CMS WHEN BILLED MORE THAN ONCE WITHIN THE SAME MONTH. |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y563 | PORTABLE OXYGEN SYSTEM IS NOT COVERED BY CMS WHEN BILLED MORE THAN ONCE WITHIN THE SAME MONTH. |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y564 | OXYGEN ACCESSORY IS NOT COVERED BY CMS WHEN BILLED WITH OXYGEN RENTAL SYSTEM ON THE SAME MONTH. |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y565 | STATIONARY OXYGEN CONTENTS IS NOT COVERED BY CMS WHEN BILLED WITH STATIONARY OXYGEN RENTAL SYSTEM O… |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y566 | NEBULIZER IS NOT COVERED IF BILLED MORE THAN ONCE EVERY MONTHS |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y567 | RESPIRATORY ASSIST DEVICE IS NOT COVERED IF BILLED MORE THAN ONCE EVERY MONTHS |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y568 | TENS DEVICE IS NOT COVERED BY CMS AS A PURCHASE IF IT HAS NOT BEEN BILLED WITH A RENTAL MODIFIER (R… |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y569 | TENS SUPPLIES ARE NOT COVERED BY CMS BECASE A TENS DEVICE WAS BILLED ON ANOTHER CLAIM. |
N522
Duplicate of a claim processed, or to be processed, as… |
CO | 18 | View → |
| Y570 | TENS SUPPLIES ARE NOT COVERED BY CMS BECAUSE "A4595" WAS BILLED ON ANOTHER CLAIM. |
N381
Alert: Consult our contractual agreement for restricti… |
CO | 16 | View → |
| Y571 | REPLACEMENT LEAD WIRES ARE NOT COVERED BY CMS BECAUSE A TENS DEVICE WAS BILLED ON ANOTHER CLAIM. |
N381
Alert: Consult our contractual agreement for restricti… |
CO | 272 | View → |
| Y572 | PRESSURE REDUCING SUPPORT SURFACE IS NOT COVERED BY CMS WHEN BILLED MORE THAN ONCE WITHIN THE SAME … |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y573 | ORTHOSES ADDITION CODES ARE NOT ELIGIBLE FOR SEPARATE PAYMENT. |
N15
Services for a newborn must be billed separately. |
CO | 97 | View → |
| Y574 | ORTHOSES ADDITION CODES ARE INCLUDED IN PRIMARY PROCEDURE. |
M75
Multiple automated multichannel tests performed on the… |
CO | 236 | View → |
| Y575 | E/M PROCEDURE WAS BILLED ON THE SAME DATE OF SERVICE WITH CARDIOVASCUALR SERVICE WITHOUT AN APPROPR… |
N572
This procedure is not payable unless appropriate non-p… |
CO | 16 | View → |
| Y576 | E/M PROCEDURE WAS BILLED ON THE SAME DATE OF SERVICE WITH CARDIOVASCUALR SERVICE ON HISTORY CLAIM ,… |
N13
Payment based on professional/technical component modi… |
CO | 16 | View → |
| Y577 | VERTEBRAL AXIAL DECOMPRESSION, PER SESSION, IS A NON-COVERED SERVICE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y578 | HAIR ANALYSIS IS A NON-COVERED SERVICE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y579 | BACTERIAL URINE CULTURE IS NOT COVERED BY MEDICARE |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y580 | HUMAN IMUNODEFICIENCY VIRUS (HIV) TESTING IS NOT COVERED BY MEDICARE |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y581 | HUMAN IMMUNODEFICIENCY VIRUS (HIV) TESTING (PROGNOSIS INCLUDING MONITORING) IS NOT COVERED BY MEDIC… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y582 | BLOOD COUNTS TESTING IS NOT COVERED BY MEDICARE WHEN BILLED WITH UNSUPPORTED DIAGNOSIS |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y583 | PARTIAL THROMBOPLASTIN TIME (PTT) IS NOT COVERED BY MEDICARE WHEN BILLED WITHOUT SUPPORTING DIAGNOS… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y584 | PROTHROMBIN TIME (PT) IS NOT COVERED BY MEDICARE WHEN BILLED WITHOUT SUPPORTING DIAGNOSIS |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y585 | PROCEDURE HAS A MAXIMUM FREQUENCY OF SERVICES |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y586 | PROTHROMBIN TIME (PT) HAS A MAXIMUM FREQUENCY OF SERVICE UNITS PER FREQUENCY VALUE QUALIFIER |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y587 | SERUM IRON STUDIES ARE NOT COVERED BY MEDICARE WITHOUT AN APPROPRIATE DIAGNOSIS |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y588 | SERUM IRON STUDIES ARE NOT COVERED BY MEDICARE WHEN BILLED MORE THAN ONCE IN A 90 DAY INTERVAL. |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y589 | COLLAGEN CROSSLINKS ARE NOT COVERED BY MEDICARE WHEN BILLED WITHOUT AN APPROPRIATE SUPPORTING DIAGN… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y590 | GLYCATED HEMOGLOBIN/GLYCATED PROTEIN ARE NOT COVERED BY MEDICARE WHEN BILLED WITHOUT AN APPROPRIATE… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y591 | THYROID TESTING IS NOT COVERED BY MEDICARE WHEN BILLED WITHOUT AN APPROPRIATE SUPPORTING DIAGNOSIS |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y592 | DIGOXIN THERAPEUTIC DRUG ASSAY IS NOT COVERED BY MEDICARE WHEN BILLED WITHOUT AN APPROPRIATE SUPPOR… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y593 | ALPHA-FETOPROTEIN IS NOT COVERED BY MEDICARE WHEN BILLED WITHOUT AN APPROPRIATE SUPPORTING DIAGNOSIS |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y594 | CARCINOEMBRYONIC ANTIGEN IS NOT COVERED BY MEDICARE WHEN BILLED WITHOUT AN APPROPRIATE SUPPORTING D… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y595 | TUMOR ANTIGEN BY IMMUNOASSAY CA 125 IS NOT COVERED BY MEDICARE WHEN BILLED WITHOUT AN APPROPRIATE S… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y596 | TUMOR ANTIGEN BY IMMUNOASSAY CA 19-9 IS NOT COVERED BY MEDICARE WHEN BILLED WITHOUT AN APPROPRIATE … |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y597 | PROSTATE SPECIFIC ANTIGEN IS NOT COVERED BY MEDICARE WHEN BILLED WITHOUT AN APPROPRIATE SUPPORTING … |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y598 | PROSTATE SPECIFIC ANTIGEN IS NOT COVERED BY MEDICARE WHEN BILLED MORE THAN ONCE IN A 12 MONTH PERIOD |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y599 | GAMMA GLUTAMYL TRANSFERASE IS NOT COVERED BY MEDICARE WHEN BILLED WITHOUT AN APPROPRIATE SUPPORTING… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y6 | ADMISSION DIAGNOSIS DESCRIBES AN EXTERNAL CAUSE OR REQUIRES THE ICD CODE FOR THE FIRST UNDERLYING D… |
MA63
Missing/incomplete/invalid principal diagnosis. |
CO | 16 | View → |
| Y600 | HEPATITIS PANEL/ACUTE HEPATITIS PANEL IS NOT COVERED BY MEDICARE WHEN BILLED WITHOUT AN APPROPRIATE… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y601 | ALUMINUM LAB TEST IS NOT COVERED BY MEDICARE WHEN BILLED MORE THAN ONCE WITHIN A 3 MONTH PERIOD |
N640
Exceeds number/frequency approved/allowed within time … |
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.