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RARC — Remittance Advice Remark Codes

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
3
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.

Showing 2,201–2,250 of 2,992 remark codes
Remark Code Description RA835 Code Group Reason Code
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 →
Y602 HEARTSBREATH TEST IS NOT REASONABLE AND NECESSARY AND IS NOT COVERED BY CMS N130
Consult plan benefit documents/guidelines for informat…
CO 204 View →
Y603 BRACHYTHERAPY SOURCES PROCEDURE REQUIRES A VALID BRACHYTHERAPY PROCEDURE. M84
Medical code sets used must be the codes in effect at …
CO 16 View →
Y604 DIRECT ADMISSION OF PATIENT FOR HOSPITAL OBSERVATION CARE WHEN BILLED WITH CRITICAL CARE, EVALUATIO… N55
Procedures for billing with group/referring/performing…
CO 16 View →
Y605 DMEPOS ITEMS BILLED BY A DMEMAC PROVIDER WITH INVALID POS WILL BE DENIED. M77
Missing/incomplete/invalid/inappropriate place of serv…
CO 5 View →
Y606 MANUAL WHEELCHAIR OR WHEELCHAIR-SPECIAL SIZE MUST BE BILLED WITH MODIFIER KX N572
This procedure is not payable unless appropriate non-p…
CO 16 View →
Y607 GLYCATED HEMOGLOBIN/GLYCATED PROTEIN PROCEDURE IS NOT COVERED BY MEDICARE WHEN BILLED MORE THAN ONC… N640
Exceeds number/frequency approved/allowed within time …
CO 151 View →
Y608 CARCINOEMBRYONIC ANTIGEN IS NOT COVERED BY MEDICARE WHEN BILLED MORE THAN TWICE WITHIN A PATIENT'S … N640
Exceeds number/frequency approved/allowed within time …
CO 151 View →
Y609 A4606 (RE-USABLE PULSE OXIMETER) WITH MODIFIER U5 - 1 UNIT EVERY SIX CALENDAR MONTHS N640
Exceeds number/frequency approved/allowed within time …
CO 151 View →
Y610 A4606 (RE-USABLE PULSE OXIMETER) WITH NO MODIFIER - 4 PER MONTH N640
Exceeds number/frequency approved/allowed within time …
CO 151 View →
Y611 A4623 (TRACHEOSTOMY, DISPOSABLE INNER CANNULA) WITH MODIFIER U3 - 31 PER CALENDAR MONTH N640
Exceeds number/frequency approved/allowed within time …
CO 151 View →
Y612 A4623 (TRACHEOSTOMY, DISPOSABLE INNER CANNULA) WITH NO MODIFIER - 1 PER CALENDAR MONTH N640
Exceeds number/frequency approved/allowed within time …
CO 151 View →
Y613 A7520 – 1 UNIT PER CALENDAR MONTH N640
Exceeds number/frequency approved/allowed within time …
CO 151 View →
Y614 A7520 WITH MODIFIER U1 - 1 PER CALENDAR MONTH N640
Exceeds number/frequency approved/allowed within time …
CO 151 View →
Y615 A7520 WITH MODIFIER U2 - 1 PER CALENDAR MONTH N640
Exceeds number/frequency approved/allowed within time …
CO 151 View →
Y616 A7521 - 1 PER CALENDAR MONTH N640
Exceeds number/frequency approved/allowed within time …
CO 151 View →
Y617 A7521 WITH MODIFIER U1 - 1 PER CALENDAR MONTH N640
Exceeds number/frequency approved/allowed within time …
CO 151 View →
Y618 A7521 WITH MODIFIER U2 - 1 PER CALENDAR MONTH N640
Exceeds number/frequency approved/allowed within time …
CO 151 View →
Y619 E0445 (OXIMETER DEVICE) WITH MODIFIER U4 - 1 PER FIVE ROLLING YEARS N640
Exceeds number/frequency approved/allowed within time …
CO 151 View →
Y620 E0445 WITH NO MODIFIER - 1 EVERY 6 MONTHS N640
Exceeds number/frequency approved/allowed within time …
CO 151 View →
Y621 IT IS INAPPROPRIATE TO PROVIDE HEPATITIS A/B VACCINES, INFLUENZA VACCINES OR PNEUMOCOCCAL PNEUMONIA… N428
Not covered when performed in this place of service.
CO 5 View →
Y622 A COMBINATION OF MODIFIERS GN, GO, OR GP CANNOT BE REPORTED ON THE SAME SERVICE LINE ON INSTITUTION… N519
Invalid combination of HCPCS modifiers.
CO 16 View →
Y623 THERAPY SERVICES MUST BE BILLED WITH A MODIFIER APPROPRIATE TO THE REVENUE CODE. N572
This procedure is not payable unless appropriate non-p…
CO 16 View →
Y624 ACCORDING TO CMS POLICY, PROCEDURES THAT ARE REDUCED SERVICES (MODIFIER 52) OR DISCONTINUED PRIOR T… M53
Missing/incomplete/invalid days or units of service.
CO 222 View →
Y625 MODIFIER Q0 OR MODIFIER Q1 CAN ONLY BE BILLED WHEN CONDITION CODE 30 AND BILL TYPE 0130-013Z (HOSPI… N519
Invalid combination of HCPCS modifiers.
CO 16 View →
Y626 BRACHYTHERAPY SOURCE BILLED WITHOUT AN APPROVED ASC SURGICAL PROCEDURE. M84
Medical code sets used must be the codes in effect at …
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.

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.