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 | |
|---|---|---|---|---|---|
| X705 | BASED ON MEDICAID GUIDELINES, A7526 (TRACHEOSTOMY TUBE COLLAR/ HOLDER) IS DENIED WHEN BILLED WITH A… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X706 | INTERMITTENT URINARY CATHETER IS NOT COVERED WHEN BILLED MORE THAN 600 UNITS IN A 3 MONTH PERIOD |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X707 | UROLOGICAL SUPPLIES ARE NOT COVERED BY CMS WHEN BILLED WITHOUT APPROPRIATE MODIFIER (KX) |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| X708 | BLOOD PRODUCT IS A NON-COVERED SERVICE |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X709 | PROSTATE SCREENING IS NOT COVERED BY CMS WHEN THE PATIENT IS UNDER 50 YEARS OF AGE. |
N129
Not eligible due to the patient's age. |
CO | 6 | View → |
| X71 | ONLY INCIDENTAL SERVICES REPORTED |
N122
Add-on code cannot be billed by itself. |
CO | 234 | View → |
| X710 | SCREENING MAMMOGRAPHY IS NOT COVERED BY CMS WHEN PATIENT'S AGE IS LESS THAN 35 |
M37
Not covered when the patient is under age 35. |
CO | 6 | View → |
| X711 | CPT 55873 (CRYOSURGICAL ABLATION OF THE PROSTATE) MUST BE BILLED WITH DIAGNOSIS C61 (CANCER OF PROS… |
M76
Missing/incomplete/invalid diagnosis or condition. |
CO | 16 | View → |
| X712 | SEPARATE REIMBURSEMENT IS NOT ALLOWED FOR RADIOLOGY SERVICES WITH A MODIFIER 26 OR 76140 WHEN BILLE… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X713 | CASTING/STRAPPING PROCEDURE IS NOT COVERED BY CMS WHEN BILLED IN A SKILLED NURSING FACILITY |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X714 | UROLOGICAL SUPPLIES IS NOT COVERED BY CMS WHEN BILLED MORE THAN ONCE PER CALENDAR MONTH |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X715 | UROLOGICAL SUPPLIES IS NOT COVERED BY CMS WHEN BILLED MORE THAN ONCE PER CALENDAR MONTH |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X716 | UROLOGICAL SUPPLIES IS NOT COVERED BY CMS WHEN BILLED MORE THAN 9 TIMES PER CALENDAR MONTH |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X717 | UROLOGICAL SUPPLIES IS NOT COVERED BY CMS WHEN BILLED MORE THAN 9 TIMES PER CALENDAR MONTH |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X718 | UROLOGICAL SUPPLIES IS NOT COVERED BY CMS WHEN BILLED MORE THAN TWICE PER CALENDAR MONTH |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X719 | UROLOGICAL SUPPLIES IS NOT COVERED BY CMS WHEN BILLED MORE THAN 31 UNITS PER CALENDAR MONTH |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X72 | CODE NOT RECOGNIZED BY MEDICARE FOR OUTPATIENT CLAIMS; ALTERNATE CODE FOR SAME SERVICE MAY BE AVAIL… |
M51
Missing/incomplete/invalid procedure code(s). |
CO | 16 | View → |
| X720 | UROLOGICAL SUPPLIES IS NOT COVERED BY CMS WHEN BILLED MORE THAN 31 UNITS PER CALENDAR MONTH |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X721 | UROLOGICAL SUPPLIES IS NOT COVERED BY CMS WHEN BILLED MORE THAN 124 UNITS PER CALENDAR MONTH |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X722 | UROLOGICAL SUPPLIES IS NOT COVERED BY CMS WHEN BILLED MORE THAN FOUR TIMES PER CALENDAR YEAR |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X723 | UROLOGICAL SUPPLIES IS NOT COVERED BY CMS WHEN BILLED MORE THAN ONCE PER CALENDAR MONTH |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X724 | UROLOGICAL SUPPLIES IS NOT COVERED BY CMS WHEN BILLED MORE THAN FOUR TIMES PER CALENDAR YEAR |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X725 | PROCEDURE IS NOT COVERED BY CMS WHEN BILLED MORE THAN ONCE PER CALENDAR MONTH |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X726 | PROSTATE CANCER SCREENING IS NOT COVERED BY CMS IF BILLED MORE THAN ONCE IN AN 11 MONTH PERIOD |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X727 | NEW TRACHEOSTOMY CARE KIT IS NOT COVERED BY CMS WHEN ACCOMPANYING OPEN SURGICAL TRACHEOSTOMY WAS NO… |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X728 | SERVICES CONSIDERED PART OF THE PEDIATRIC CRITICAL CARE INTERFACILITY TRANSPORT WILL BE DENIED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X729 | PER NCD GUIDELINES, CMS ID , A DIAGNOSIS CODE, WHICH MEETS MEDICAL NECESSITY FOR PROCEDURE CODE, IS… |
M64
Missing/incomplete/invalid other diagnosis. |
CO | 16 | View → |
| X73 | PARTIAL HOSPITALIZATION SERVICE FOR NON-MENTAL HEALTH DIAGNOSIS | — | CO | 11 | View → |
| X730 | PROSTATE SPECIFIC ANTIGEN IS NOT COVERED BY MEDICARE WHEN BILLED MORE THAN TWICE IN A PATIENT'S LIF… |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X731 | DEBRIDEMENT IS NOT COVERED BY CMS WHEN BILLED WITH PRESSURE ULCER STAGE I DIAGNOSIS AND NO OTHER PR… |
M64
Missing/incomplete/invalid other diagnosis. |
CO | 16 | View → |
| X732 | PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERGEN IMM… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X733 | IMMUNIZATION ADMINISTRATION MUST BE BILLED WITH A VALID VACCINE/TOXOID CODE. |
M51
Missing/incomplete/invalid procedure code(s). |
CO | 16 | View → |
| X734 | GLOBAL OBSTETRICAL DELIVERY WILL BE DENIED WHEN BILLED WITH AN ASSISTANT SURGEON MODIFIER. |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| X735 | REIMBURSEMENT FOR AN ASSISTANT SURGEON WHEN BILLED BY THE PRIMARY SURGEON WILL BE DENIED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X736 | ONCE PER LIFETIME PROCEDURES OR SERVICES BILLED MORE THAN ONCE FOR A PATIENT, THE REPEATED SERVICE … |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X737 | DIRECT CONTACT PROLONGED PHYSICIAN SERVICE IN THE INPATIENT OR OBSERVATION SETTING MUST BE BILLED W… |
N428
Not covered when performed in this place of service. |
CO | 5 | View → |
| X738 | DENY OB ULTRASOUND CODES 76802, 76810, 76812 WHEN BILLED WITHOUT THE REQUISITE DIAGNOSIS |
M76
Missing/incomplete/invalid diagnosis or condition. |
CO | 16 | View → |
| X739 | ONLY ONE REIMBURSEMENT IS PERMITTED FOR ONCE-IN-A-LIFETIME SERVICES |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X74 | INSUFFICIENT SERVICES ON DAY OF PARTIAL HOSPITALIZATION | — | CO | 16 | View → |
| X740 | GYNECOLOGIC SCREENING SERVICE WILL BE DENIED WHEN BILLED WITH PREVENTIVE MEDICINE VISITS OR ANNUAL … |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X741 | RHYTHM ECG, INTERPRETATION AND REPORT ONLY BILLED WITH AN EVALUATION AND MANAGEMENT SERVICE IN THE … |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X742 | E/M SERVICE BILLED WITH IMMUNIZATION ADMINISTRATION WILL BE DENIED |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X743 | C-CODE IS NOT VALID WHEN BILLED AS A PROFESSIONAL CLAIM |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X744 | SURGICAL DRESSINGS BILLED WITH INVALID PLACE OF SERVICE WILL BE DENIED |
M77
Missing/incomplete/invalid/inappropriate place of serv… |
CO | 5 | View → |
| X745 | SERVICE WITH A NON-FACILITY NA INDICATOR OF "N/A" WILL BE DENIED WHEN BILLED IN PHYSICIAN'S OFFICE … |
M77
Missing/incomplete/invalid/inappropriate place of serv… |
CO | 5 | View → |
| X746 | STEREOTACTIC RADIOSURGERY BILLED MORE THAN ONCE WITHIN 90 DAYS WILL BE DENIED. |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| X747 | TOPICAL APPLICATION OF OXYGEN/TOPICAL HYPERBARIC OXYGEN WILL BE DENIED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X748 | AIR FLUIDIZED BED IS NOT COVERED WITHOUT AN APPROPRIATE DIAGNOSIS |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X749 | HOME BLOOD GLUCOSE MONITOR IS NOT COVERED WITHOUT AN APPROPRIATE DIAGNOSIS |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| X75 | PARTIAL HOSPITALIZATION ON SAME DAY AS ECT OR TYPE T PROCEDURE | — | CO | 233 | 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.