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 | |
|---|---|---|---|---|---|
| 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 â 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 → |
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.