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 | |
|---|---|---|---|---|---|
| Y800 | REVENUE CODE INVALID FOR ILLINOIS MEDICAID HOSPITAL PROVIDERS |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y801 | TAXONOMY REIMBURSES AT PERCENTAGE OF PHYSICIAN FEE SCHEDULE. | — | CO | 45 | View → |
| Y802 | A MULTIPLE PROCEDURE REDUCTION APPLIES TO PROCEDURE CODE. | — | CO | 45 | View → |
| Y803 | ASSISTANT SURGEON MODIFIER INDICATES A 20% REDUCTION OF THE STATE MAXIMUM SHOUD BE APPLIED. | — | CO | 45 | View → |
| Y804 | ASSISTANT SURGEON MODIFIER NOT APPLICABLE FOR PROCEDURE CODE. LINE ITEM NOT REIMBURSED. |
N519
Invalid combination of HCPCS modifiers. |
CO | 4 | View → |
| Y805 | 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 → |
| Y806 | 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 → |
| Y807 | DME CODE REQUIRES A PURCHASE OR RENTAL MODIFIER |
N519
Invalid combination of HCPCS modifiers. |
CO | 4 | View → |
| Y808 | 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 → |
| Y809 | 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 → |
| Y810 | E/M SERVICE IS NOT PERMITTED IN THIS POS . |
M77
Missing/incomplete/invalid/inappropriate place of serv… |
CO | 16 | View → |
| Y811 | 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 | 96 | View → |
| Y812 | SURGICAL DRESSING MUST BE BILLED WITH A1-A9 MODIFIER |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y813 | COLON CANCER SCREENING IS NOT COVERED FOR PATIENTS UNDER THE AGE OF 50. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y814 | 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 → |
| Y815 | 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 → |
| Y816 | 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 → |
| Y817 | 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 → |
| Y818 | 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 → |
| Y819 | PHOTOPHERESIS, EXTRACORPOREAL BILLED WITHOUT A DIAGNOSIS FOR THE UNDERLYING CAUSE WILL BE DENIED. |
M64
Missing/incomplete/invalid other diagnosis. |
CO | 16 | View → |
| Y820 | PHOTOPHERESIS, EXTRACORPOREAL BILLED WITH GRAFT-VERSUS-HOST-DISEASE WITHOUT A DIAGNOSIS OF COMPLICA… |
M64
Missing/incomplete/invalid other diagnosis. |
CO | 16 | View → |
| Y821 | TAPE (A4450, A4452) IS DENIED WHEN BILLED WITHOUT MODIFIERS AU, AV, AW, AX. |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y822 | OSTEOGENESIS STIMULATORS DESCRIBED BY HCPCS CODES E0747, E0748, AND E0760 ARE CLASSIFIED AS CLASS I… |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y823 | DIAGNOSTIC SERVICES OR OP NON-REHABILITATION SERVICES BILLED WITH THERAPY SERVICES MODIFIERS WILL B… |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y824 | SERVICE INAPPROPRIATELY BILLED WITH TELEHEALTH SERVICE MODIFIER. |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y825 | CPT CARE PLAN OVERSIGHT SERVICES WHEN BILLED WITHIN THE SAME CALENDAR MONTH OF A MONTHLY ESRD SERVI… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y826 | CPT (INJECTION, LEVOCARNITINE) MUST BE BILLED WITH APPROPRIATE DIAGNOSIS. |
M64
Missing/incomplete/invalid other diagnosis. |
CO | 16 | View → |
| Y827 | PHYSICIAN RECERTIFICATION FOR HOME HEALTH SERVICES (G0179) IS DENIED IF BILLED MORE THAN ONCE EVERY… |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y828 | T1001 (NURSING ASSESSMENT EVALUATION) CANNOT BE BILLED MORE THAN ONCE A MONTH. |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y829 | EXCISION/DESTRUCTION/CRYOTHERAPY OF BENIGN OR PREMALIGNANT SKIN LESIONS BILLED WITH INAPPROPRIATE P… |
M77
Missing/incomplete/invalid/inappropriate place of serv… |
CO | 16 | View → |
| Y830 | EXCISION/DESTRUCTION/CRYOTHERAPY OF BENIGN OR PREMALIGNANT SKIN LESIONS BILLED WITH INAPPROPRIATE P… |
M77
Missing/incomplete/invalid/inappropriate place of serv… |
CO | 16 | View → |
| Y831 | MAX OF ONE FECAL OCCULT BLOOD TEST CPT IS ALLOWED PER YEAR. |
M90
Not covered more than once in a 12 month period. |
CO | 151 | View → |
| Y832 | MAX OF ONE SIGMOIDOSCOPY OR BARIUM ENEMA CPT IS ALLOWED EVERY FOUR YEARS. |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y833 | BARIUM ENEMA HIGH RISK ALTERNATIVE TO SCREENING COLONOSCOPY CPT IS NOT COVERED WHEN BILLED WITHOUT … |
M64
Missing/incomplete/invalid other diagnosis. |
CO | 16 | View → |
| Y834 | WHEN THE DIAGNOSIS IS NOT MULTIPLE GESTATION, THE MAXIMUM UNIT ALLOWED FOR PROCEDURE IS 1 PER DAY. |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y835 | WHEN THE DIAGNOSIS IS MULTIPLE GESTATION, ULTRASOUNDS HAVE MAXIMUM UNITS PER DAY RESTRICTIONS. |
M53
Missing/incomplete/invalid days or units of service. |
CO | 222 | View → |
| Y836 | CPT ADVANCED KNEES, ANKLES AND FEET WITHOUT AN APPROPRIATE K3 OR K4 FUNCTIONAL MODIFIER WILL BE DEN… |
N572
This procedure is not payable unless appropriate non-p… |
CO | 4 | View → |
| Y837 | MORE SPECIFIC CODING AVAILABLE |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y838 | PRIVATE DUTY NURSING WILL NOT EXCEED 96 UNITS PER 24 HOUR |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y839 | PRIVATE DUTY NURSING WILL NOT EXCEED 8000 UNITS PER CALENDAR YEAR |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y840 | DENTAL CODES HAVE A COVERAGE LIMIT OF ONCE PER YEAR |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y841 | DENTAL SEALANT PER TOOTH - MAXIMUM UNITS PAYABLE = 8 |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y842 | CHIROPRACTIC MANIPULATIVE TREATMENT BILLED MORE THAN ONCE PER DAY, WHEN BILLED BY ANY PROVIDER WILL… |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y843 | MOD 79 INDICATES A 2ND PROCEDURE BY SAME PHYS IS UNRELATED TO A PRIOR PROCEDURE, BUT NO PRIOR PROCE… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y844 | PROC BILLED WITH MOD 54, 55 OR 56 IS DENIED BECAUSE IT WAS BILLED PREVIOUSLY, WITHOUT A MODIFIER, O… |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y845 | MOD 76 INDICATES REPEAT PROCEDURE BY SAME PHYS, BUT NO PRIOR INSTANCE OF THIS PROCEDURE WAS FOUND (… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y846 | MOD 77 INDICATES A REPEAT PROCEDURE BY A DIFFERENT PHYS, BUT NO PRIOR INSTANCE OF THIS PROCEDURE WA… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y847 | MOD 77 INDICATES A REPEAT PROCEDURE BY A DIFFERENT PHYS. PROCEDURE {0} IS DENIED BECAUSE IT WAS BIL… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y848 | PROCS WITHOUT MOD 54, 55 OR 56 ARE DENIED WHEN SAME PROC WAS PREVIOUSLY BILLED BY ANOTHER PHYS WITH… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y849 | MODIFIER 51 SUBMITTED WITH AN ADD-ON PROCEDURE CODE WILL BE DENIED. |
M20
Missing/incomplete/invalid HCPCS. |
CO | 4 | 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.