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 | |
|---|---|---|---|---|---|
| Y850 | CPT ADVANCED KNEES, ANKLES AND FEET WITHOUT AN APPROPRIATE K2, K3 OR K4 FUNCTIONAL MODIFIER WILL BE… |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y851 | CPT SPINAL ORTHOSIS PROCEDURES MUST BE BILLED WITH CG MODIFIER |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y852 | PROCEDURES WITH MODIFIER 55 OR 56, IN ADDITION TO MODIFIER 78, ARE DENIED. |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y853 | DEVICE IS INTEGRAL TO A COVERED ASC SURGICAL PROCEDURE, BUT NO CORRESPONDING ASC SURGICAL PROCEDURE… |
M51
Missing/incomplete/invalid procedure code(s). |
CO | 16 | View → |
| Y854 | EVALUATION AND MANAGEMENT SERVICES ARE NOT SEPARATELY PAYABLE WHEN BILLED WITH 93701 (BIOIMPEDANCE,… |
M77
Missing/incomplete/invalid/inappropriate place of serv… |
CO | 16 | View → |
| Y855 | E&M CODE IS NOT COVERED BY CMS WHEN BILLED IN A PLACE OF SERVICE ON CLAIM. |
M77
Missing/incomplete/invalid/inappropriate place of serv… |
CO | 16 | View → |
| Y856 | HOME HEALTH/HOME INFUSION PROCEDURE REQUIRES A VALID MODIFIER SS AND A VALID PLACE OF SERVICE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 16 | View → |
| Y857 | G0446 (ANNUAL, FACE-TO-FACE IBT FOR CVD) IS DENIED WHEN POS IS NOT 11, 22, 49, 50, 71, 72 |
M77
Missing/incomplete/invalid/inappropriate place of serv… |
CO | 16 | View → |
| Y858 | SURGICAL AND MEDICAL SERVICE IS DENIED BECAUSE IT WAS BILLED WITHIN DAY GLOBAL POST OPERATIVE PERIO… |
N525
These services are not covered when performed within t… |
CO | 96 | View → |
| Y859 | ONLY ONE TECHNICAL COMPONENT FOR THE SAME SERVICE MAY BE BILLED. A SIMILAR SERVICE WAS BILLED ON CL… |
N522
Duplicate of a claim processed, or to be processed, as… |
CO | 18 | View → |
| Y860 | CPT 93701 (BIOIMPEDANCE, THORACIC, ELECTRICAL) IS DENIED WHEN BILLED ON THE SAME DATE OF SERVICE AS… |
M64
Missing/incomplete/invalid other diagnosis. |
CO | 16 | View → |
| Y861 | CPT 93701 (BIOIMPEDANCE, THORACIC, ELECTRICAL) IS DENIED WHEN THE ONLY DIAGNOSIS ON THE CLAIM IS AO… |
M64
Missing/incomplete/invalid other diagnosis. |
CO | 16 | View → |
| Y862 | CORRECT NDC CODE REQUIRED. |
M119
Missing/incomplete/invalid/ deactivated/withdrawn Nati… |
CO | 4 | View → |
| Y863 | HCPCS CODE IS NOT ON THE ASP DRUG SCHEDULE AND NDC IS NOT ON NOC SO THE CHARGE IS NOT COVERED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y864 | INAPPROPRIATE CODING FOR CONTRACT AGREEMENT: HCPCS CATEGORY II CODE IS REQUIRED |
N657
This should be billed with the appropriate code for th… |
CO | 16 | View → |
| Y865 | AN NDC CODE WITHOUT A CPT CODE IS NOT PERMITTED. |
N657
This should be billed with the appropriate code for th… |
CO | 16 | View → |
| Y866 | 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 → |
| Y867 | 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 → |
| Y868 | REVENUE CODE IS INVALID FOR LTC PROVIDER. |
M50
Missing/incomplete/invalid revenue code(s). |
CO | 16 | View → |
| Y869 | BEHAVIORAL HEALTH PROVIDER REQUIRES MODIFIER ON THE ENCOUNTER CODE . |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y870 | ENCOUNTER RATE CLINICS REQUIRE A DETAIL CODE. |
N657
This should be billed with the appropriate code for th… |
CO | 16 | View → |
| Y871 | ENCOUNTER RATE CLINICS SHOULD BE BILLED AS A SINGLE DATE OF SERVICE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 16 | View → |
| Y872 | REIMBURSEMENT FOR THIS SERVICE IS INCLUDED IN THE FQHC VISIT (G CODE). |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 97 | View → |
| Y873 | DASA MUST BE BILLED ON TYPE OF BILL 86X OR 89X |
MA30
Missing/incomplete/invalid type of bill. |
CO | 282 | View → |
| Y874 | INFERTILITY DIAGNOSES ARE NON COVERED FOR ILLINOIS MEDICAID |
M64
Missing/incomplete/invalid other diagnosis. |
CO | 96 | View → |
| Y875 | MATERNITY/ANTEPARTUM CODE IS CONSIDERED GLOBAL BY HFS |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y876 | OCCURRENCE CODE 51 IS NO LONGER VALID. OCCURRENCE CODE 42 IS NOW REQUIRED. |
M45
Missing/incomplete/invalid occurrence code(s). |
CO | 16 | View → |
| Y877 | NON-COVERED SERVICE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y878 | THERAPY MODIFIER REDUCES TO PERCENTAGE OF THE ALLOWED AMOUNT. |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y879 | PROFESSIONAL CLAIM IS A POSSIBLE DUPLICATE OF CLAIM IN HISTORY. | — | CO | 18 | View → |
| Y880 | PROFESSIONAL CLAIM LINE IS A POSSIBLE DUPLICATE OF CLAIM LINE ID. | — | CO | 18 | View → |
| Y881 | OUTPATIENT CLAIM IS A POSSIBLE DUPLICATE OF CLAIM IN HISTORY. | — | CO | 18 | View → |
| Y882 | OUTPATIENT CLAIM LINE IS A POSSIBLE DUPLICATE OF CLAIM LINE IN HISTORY. (SAME CLAIM) | — | CO | 18 | View → |
| Y883 | OUTPATIENT CLAIM LINE IS A POSSIBLE DUPLICATE OF CLAIM LINE. (HISTORICAL CLAIM) | — | CO | 18 | View → |
| Y884 | INPATIENT CLAIM IS A POSSIBLE DUPLICATE OF CLAIM IN HISTORY. | — | CO | 18 | View → |
| Y885 | 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 → |
| Y886 | DIAGNOSIS IS CONSIDERED AN ADDITIONAL CODE AND SHOULD NOT BE SUBMITTED AS PRIMARY. |
MA63
Missing/incomplete/invalid principal diagnosis. |
CO | 16 | View → |
| Y887 | 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 → |
| Y888 | CHALLENGE INGESTION FOOD TESTING WILL BE DENIED IF BILLED WITH INAPPROPRIATE DIAGNOSIS CODE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 16 | View → |
| Y889 | HYDROPHILIC CONTACT LENSES BILLED WITH ONLY NONDISEASED EYES WITH SPHERICAL AMETROPIA, REFRACTIVE A… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y890 | DENY 90935-90940 (HEMODIALYSIS) WHEN BILLED AND THE ONLY DIAGNOSIS ON THE CLAIM IS 295-295.95 (SCHI… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y891 | 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 → |
| Y892 | APPLYING PURCHASE PRICE BASED ON 10 MONTH RENTAL POLICY. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y893 | 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 → |
| Y894 | 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 → |
| Y895 | 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 → |
| Y896 | 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 → |
| Y897 | ANTEPARTUM CARE BY SAME PROVIDER GROUP |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y898 | SPECIAL SERVICES BY EMERGENCY MEDICINE PROVIDER |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 16 | View → |
| Y899 | EXTERNAL COUNTERPULSATION (ECP) FOR SEVERE ANGINA - 1 |
N130
Consult plan benefit documents/guidelines for informat… |
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.