Remark Codes — Complete List & Lookup

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.

2,992

Total Remark Codes

Adjustment Groups

835

RA835 Mapped

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Looking for Denial Codes (CARC)?

Browse Claim Adjustment Reason Codes — the codes that explain why a payment was reduced or denied.

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Showing 1,951–2,000 of 2,992 remark codes

Remark Code	Description	RA835 Code	Group	Reason Code
XJ81	COVID-19 CODE IS NOT REIMBURSABLE WHEN BILLED ON A HOSPITAL CLAIM.	N130 Consult plan benefit documents/guidelines for informat…	CO	96	View →
XJ87	THERAPY PRICES USING EAPG METHODOLOGY EFFECTIVE 7/1/2020.	—	CO	45	View →
XK43	THIS CLAIM CONTAINS A VALID PSYCHIATRIC CLINIC APL, BUT THE BILLED TAXONOMY IS NOT A PSYCHIATRIC FA…	N130 Consult plan benefit documents/guidelines for informat…	CO	96	View →
XK46	PROCEDURE CODE J3590 MUST BE BILLED WITH VALID ZOLGENSMA NDC	N130 Consult plan benefit documents/guidelines for informat…	CO	96	View →
XK47	COOK COUNTY CLINICS BILLING WITH TIN 366006541 ARE NO LONGER ENROLLED AS ENCOUNTER RATE CLINICS AS …	N130 Consult plan benefit documents/guidelines for informat…	CO	204	View →
XK49	LTC COVID ISOLATION/QUARANTINE PEND FOR MANUAL PRICING.	—	CO	45	View →
XK56	WHEN SURGERY CPT IS PRESENT WITH AS MODIFIER ON A CLAIM, IT WILL PRICE AT 35% OF THE SURGICAL REIMB…	—	CO	45	View →
XK60	ZOLGENSMA MUST BE BILLED WITH J3590.	M50 Missing/incomplete/invalid revenue code(s).	CO	16	View →
XK62	OHIO MEDICAID MID-LEVEL PROVIDER, ADVANCED NURSING TAXONOMY, IS PAID AT 85%, WHEN PROVIDING SERVICE…	—	CO	45	View →
XK63	OHIO MEDICAID BI-LATERAL PROCEDURE, PAYMENT IS ADJUSTED BY 150%.	—	CO	45	View →
XK68	ILLINOIS PODIATRY CLAIMS WITH NOTE CODE B ARE INITIAL VISITS ONLY COVERED ONCE PER PATIENT PER PROV…	N130 Consult plan benefit documents/guidelines for informat…	CO	96	View →
XK69	EFFECTIVE 7/1/2020, HOSPITALS MUST BILL SERVICES AS OUTPATIENT INSTITUTIONAL SERVICES.	N130 Consult plan benefit documents/guidelines for informat…	CO	96	View →
XL13	ACCESSORIES AND SUPPLIES INCLUDED IN EQUIPMENT RENTAL REIMBURSEMENT	N130 Consult plan benefit documents/guidelines for informat…	CO	97	View →
XL46	WHEN VALUE CODE 68 IS BILLED, EPOGEN/EPOETIN PROCEDURE CODE Q4081/Q4084 MUST BE PRESENT ON THE CLAI…	M49 Missing/incomplete/invalid value code(s) or amount(s).	CO	16	View →
XL66	THE PROVIDER TYPE AND CATEGORY OF SERVICE COMBINATION ARE NOT ALLOWED TO BILL FOR THIS SERVICE.	N130 Consult plan benefit documents/guidelines for informat…	CO	96	View →
XL67	PROCEDURE CODES NOTED WITH CODE L ON THE PRACTITIONER FEE SCHEDULE CAN ONLY BE BILLED BY ENCOUNTER …	N130 Consult plan benefit documents/guidelines for informat…	CO	96	View →
XL68	CLAIM MUST HAVE SAME FROM AND THROUGH MONTH.	N130 Consult plan benefit documents/guidelines for informat…	CO	96	View →
XL74	VALUE CODE UNITS DOES NOT EQUAL THE SUM	N130 Consult plan benefit documents/guidelines for informat…	CO	96	View →
XL94	OBSTETRIC/GYNECOLOGY PROVIDERS ARE REIMBURSED FOR THE HPV VACCINE PRODUCT FOR THE CDCâS ACIP RECO…	N657 This should be billed with the appropriate code for th…	CO	4	View →
XM07	CLAIMS SUBMITTED WITH STUDENT TAXONOMY 390200000X DO NOT QUALIFY FOR REIMBURSEMENT.	N130 Consult plan benefit documents/guidelines for informat…	CO	96	View →
XM19	COVID VACCINES BILLED BY FQHCS MUST BE BILLED ON A SEPARATE CLAIM.	N130 Consult plan benefit documents/guidelines for informat…	CO	97	View →
XM20	ENCOUNTER CLINICS MUST BILL THE ENCOUNTER CODE T1015 OR S5190 UNLESS BILLING A LARC OR VACCINE SUPP…	N130 Consult plan benefit documents/guidelines for informat…	CO	97	View →
XM21	INPATIENT CLAIMS AND LTC CLAIMS MUST BILL A VALUE CODE 80 FOR DAYS COVERED.	M49 Missing/incomplete/invalid value code(s) or amount(s).	CO	16	View →
XM26	TOB TO USE DATE POLICY.	N130 Consult plan benefit documents/guidelines for informat…	CO	96	View →
XM27	NOT SEPARATELY PAYABLE. INCLUDED IN DRG PAYMENT.	N130 Consult plan benefit documents/guidelines for informat…	CO	97	View →
XM28	NOT SEPARATELY PAYABLE. INCLUDED IN CASE/PER-DIEM PAYMENT.	N130 Consult plan benefit documents/guidelines for informat…	CO	97	View →
XM61	BILLING PROVIDER CANNOT BILL ESRD SERVICES ON A HCFA CLAIM TYPE. IT MUST BE BILLED ON A UB CLAIM TY…	MA30 Missing/incomplete/invalid type of bill.	CO	16	View →
XM63	BILLING TAXONOMY IS NOT APPROPRIATE FOR AMBULATORY SURGERY CENTER BILL TYPE.	N94 Claim/Service denied because a more specific taxonomy …	CO	16	View →
XM64	BILLING TAXONOMY IS NOT APPROPRIATE FOR SKILLED NURSING FACILITY BILL TYPE.	N94 Claim/Service denied because a more specific taxonomy …	CO	16	View →
XM65	BILLING TAXONOMY IS NOT APPROPRIATE FOR SKILLED NURSING INPATIENT BILL TYPE.	N94 Claim/Service denied because a more specific taxonomy …	CO	16	View →
XM66	BILLING TAXONOMY IS NOT APPROPRIATE FOR INTERMEDIATE CARE NURSING FACILITY BILL TYPE.	N94 Claim/Service denied because a more specific taxonomy …	CO	16	View →
XM67	BILLING TAXONOMY IS NOT APPROPRIATE FOR INTERMEDIATE CARE NURSING FACILITY BILL TYPE 66X.	N94 Claim/Service denied because a more specific taxonomy …	CO	16	View →
XM68	BILLING TAXONOMY IS NOT APPROPRIATE FOR CLINIC BILL TYPE.	N94 Claim/Service denied because a more specific taxonomy …	CO	16	View →
XM69	BILLING TAXONOMY IS NOT APPROPRIATE FOR INPATIENT BILL TYPE.	N94 Claim/Service denied because a more specific taxonomy …	CO	16	View →
XM70	BILLING TAXONOMY IS NOT APPROPRIATE FOR INPATIENT BILL TYPE.	N94 Claim/Service denied because a more specific taxonomy …	CO	16	View →
XM71	BILLING TAXONOMY IS NOT APPROPRIATE FOR OUTPATIENT BILL TYPE.	N94 Claim/Service denied because a more specific taxonomy …	CO	16	View →
XM72	BILLING TAXONOMY IS NOT APPROPRIATE FOR OUTPATIENT BILL TYPE.	N94 Claim/Service denied because a more specific taxonomy …	CO	16	View →
XM73	BILLING TAXONOMY IS NOT APPROPRIATE FOR HOSPICE BILL TYPE.	N94 Claim/Service denied because a more specific taxonomy …	CO	16	View →
XM74	BILLING TAXONOMY IS NOT APPROPRIATE FOR CRITICAL ACCESS HOSPITAL BILL TYPE.	N94 Claim/Service denied because a more specific taxonomy …	CO	16	View →
XM75	BILLING TAXONOMY IS NOT APPROPRIATE FOR HOME HEALTH BILL TYPE.	N94 Claim/Service denied because a more specific taxonomy …	CO	16	View →
XM76	BILLING TAXONOMY IS NOT APPROPRIATE FOR HOSPICE BILL TYPE 81X.	N94 Claim/Service denied because a more specific taxonomy …	CO	16	View →
XM77	BILLING TAXONOMY IS NOT APPROPRIATE FOR FREE STANDING BIRTHING CENTER BILL TYPE.	N94 Claim/Service denied because a more specific taxonomy …	CO	16	View →
XM78	BILLING TAXONOMY IS NOT APPROPRIATE FOR INPATIENT BILL TYPE.	N94 Claim/Service denied because a more specific taxonomy …	CO	16	View →
XM79	BILLING TAXONOMY IS NOT APPROPRIATE FOR FACILITY BILL TYPE.	N94 Claim/Service denied because a more specific taxonomy …	CO	16	View →
XM80	PSYCHIATRIC HOSPITAL CAN NOT BILL OUTPATIENT ER CLAIMS WITH REVENUE CODES 450, 451, 452, 456, OR 45…	M50 Missing/incomplete/invalid revenue code(s).	CO	16	View →
XM95	LEAVE OF ABSENCE REVENUE CODES ARE NOT PAYABLE.	N130 Consult plan benefit documents/guidelines for informat…	CO	96	View →
XM98	CMHCS, BHCS, INDEPENDENT PRACTITIONERS (PSYCHIATRISTS, LICENSED CLINICAL SOCIAL WORKERS AND LICENSE…	N657 This should be billed with the appropriate code for th…	CO	4	View →
XN00	FLUORIDE PROCEDURE (D1206) IS ONLY AVAILABLE FOR PAYMENT TWICE A YEAR FOR MEMBER AGES 3-20	N129 Not eligible due to the patient's age.	CO	6	View →
XN13	HCPCS CODE Q3014 TO BE BILLED IN CONJUNCTION WITH REVENUE CODE 0780.	N130 Consult plan benefit documents/guidelines for informat…	CO	96	View →
XN16	PROCEDURE CODE 97140 DESCRIBES A PHYSICAL THERAPY SERVICE SUBMITTED WITH AN INAPPROPRIATE PLACE OF …	M77 Missing/incomplete/invalid/inappropriate place of serv…	CO	16	View →

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What is a Remark Code?

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.

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Remark Code vs. Denial Code

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.

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How to Use This List

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.