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 | |
|---|---|---|---|---|---|
| Y627 | CONDITION CODE 44 (INPATIENT ADMISSION CHANGED TO OUTPATIENT) CAN ONLY BE BILLED WITH BILL TYPES 01… |
MA30
Missing/incomplete/invalid type of bill. |
CO | 5 | View → |
| Y628 | PER THE MEDICARE PHYSICIAN FEE SCHEDULE, PROCEDURE CODE DESCRIBES A PHYSICAL THERAPY SERVICES SUBMI… |
M77
Missing/incomplete/invalid/inappropriate place of serv… |
CO | 5 | View → |
| Y629 | MODIFIER ON PROC CODE INDICATES A REDUCTION. |
N546
Payment represents a previous reduction based on the E… |
CO | 45 | View → |
| Y630 | PER CMS POLICY, PROCEDURE CODE DESCRIBES HYPERTHERMIA SERVICES WHICH ARE ONLY COVERED WHEN BILLED I… |
M84
Medical code sets used must be the codes in effect at … |
CO | 16 | View → |
| Y631 | (HOSPITAL DISCHARGE SERVICES) WAS BILLED ON PRIOR DAY ON CLAIM. |
N522
Duplicate of a claim processed, or to be processed, as… |
CO | 18 | View → |
| Y632 | CO-SURGEONS COULD BE PAID, THOUGH SUPPORTING DOCUMENTATION IS REQUIRED TO ESTABLISH THE MEDICAL NEC… |
N706
Missing documentation. |
CO | 163 | View → |
| Y633 | PER THE MEDICARE PHYSICIAN FEE SCHEDULE, PROCEDURE CODE DESCRIBES A PHYSICIAN INTERPRETATION FOR SE… |
M77
Missing/incomplete/invalid/inappropriate place of serv… |
CO | 5 | View → |
| Y634 | PER CMS GUIDELINES, CO-SURGEON CLAIMS WHEN BOTH SURGEONS HAVE THE SAME SUBSPECIALTY FOR PROCEDURES … |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 204 | View → |
| Y635 | PER AMA GUIDELINES, INITIAL HOSPITAL OR BIRTHING CENTER CARE WILL BE DENIED WHEN THE NEWBORN HAS RE… |
M84
Medical code sets used must be the codes in effect at … |
CO | 16 | View → |
| Y636 | ROOM & BOARD REVENUE CODES IN AN OUTPATIENT HOSPITAL SETTING |
N676
Service does not qualify for payment under the Outpati… |
CO | 60 | View → |
| Y637 | DROP VCE.49953 (040CCO - MODIFIER 59) |
N519
Invalid combination of HCPCS modifiers. |
CO | 16 | View → |
| Y638 | DROP VCE.49953 (040CCO COPY - MODIFIER TC) |
N519
Invalid combination of HCPCS modifiers. |
CO | 16 | View → |
| Y639 | DROP VCE.21210 (PATIENT AGE GREATER THAN 70) |
N129
Not eligible due to the patient's age. |
CO | 272 | View → |
| Y640 | DROP VCE.20603 (NPT - EXCLUDE PREVENTATIVE CODES) |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 272 | View → |
| Y641 | DROP VCE.21205 (SUB 90680 - ADMIN CODES) |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 272 | View → |
| Y642 | INSTITUTIONAL CLAIM IS A POSSIBLE DUPLICATE OF CLAIM . |
N522
Duplicate of a claim processed, or to be processed, as… |
CO | 18 | View → |
| Y643 | PROCEDURE CODE IS A POSSIBLE DUPLICATE OF CLAIM LINE. PROCEDURE SHOULD BE BILLED IN THE SAME SERVIC… |
N522
Duplicate of a claim processed, or to be processed, as… |
CO | 18 | View → |
| Y644 | PROCEDURE LINE IS A POSSIBLE DUPLICATE OF CLAIM. PROCEDURE CAN NOT BE BILLED ON SAME DOS WITH DIFFE… |
N522
Duplicate of a claim processed, or to be processed, as… |
CO | 18 | View → |
| Y645 | INJECTIONS, LABS REPORTS, AND TESTS MUST BE BILLED WITH SPECIFIC PROCEDURE CODE ON ONE SERVICE SECT… |
N381
Alert: Consult our contractual agreement for restricti… |
CO | 16 | View → |
| Y646 | THERAPY MUST BE BILLED WITH ONE SERVICE SECTION FOR EACH ITEM (PT, OT OR ST) OR SERVICE PROVIDED TO… |
N381
Alert: Consult our contractual agreement for restricti… |
CO | 272 | View → |
| Y647 | MODIFIER 25/59 CAN NOT BE BILLED MULTIPLE TIMES FOR THE SAME SERVICE RENDERED ON THE SAME DOS. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 272 | View → |
| Y648 | PRICING MODIFIERS SHOULD NOT BE SUBMITTED MULTIPLE TIMES ON THE SAME PROCEDURE. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 272 | View → |
| Y649 | IMPROPER BILLING OF BILATERAL PROCEDURE. UNITS MUST BE 1. |
M53
Missing/incomplete/invalid days or units of service. |
CO | 222 | View → |
| Y650 | AUDIOLOGY INPATIENT CHARGES ARE INCLUDED IN THE REIMBURSEMENT TO A HOSPITAL AND ARE NOT TO BE BILLE… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 272 | View → |
| Y651 | PROVIDER TAXONOMY CANNOT BILL IN PLACE OF SERVICE . |
N288
Missing/incomplete/invalid rendering provider taxonomy. |
CO | 8 | View → |
| Y652 | DME SUPPLIERS CANNOT BILL IN PLACE OF SERVICE WHEN THE PATIENT IS 21 YEARS OR OLDER. |
M77
Missing/incomplete/invalid/inappropriate place of serv… |
CO | 5 | View → |
| Y653 | REVENUE CODE INVALID FOR CATEGORY OF SERVICE. |
M50
Missing/incomplete/invalid revenue code(s). |
CO | 16 | View → |
| Y654 | OCCURRENCE CODE 50 IS NO LONGER VALID TO BYPASS PA FOR POST-DISCHARGE SERVICES. OCCURRENCE CODE 42 … |
M45
Missing/incomplete/invalid occurrence code(s). |
CO | 16 | View → |
| Y655 | PROCEDCURE CODE CAN ONLY BE USED BY OUTPATIENT FACILITIES BILLED ON AN INSTUTIONAL CLAIM (C CODES) |
M51
Missing/incomplete/invalid procedure code(s). |
CO | 16 | View → |
| Y656 | WHEN MULTIPLE GENERAL ANESTHESIA SERVICE CODES, ONLY THE HIGHEST SUBMITTED CHARGE AMOUNT WILL BE PA… |
N634
The allowance is calculated based on anesthesia time u… |
CO | 59 | View → |
| Y657 | INCORRECT BILLING OF ASSISTANT SURGEON MODIFIERS FOR CRITICAL ACCESS PROFESSIONAL FEES REVENUE CODE… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 272 | View → |
| Y658 | INCORRECT BILLING OF CO-SURGEON MODIFIER FOR CRITICAL ACCESS PROFESSIONAL FEES REVENUE CODE.; REVEN… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 272 | View → |
| Y659 | C CODES CANNOT BE BILLED WITH REVENUE CODES REPRESENTING PROFESSIONAL FEES; REVENUE CODES 0960-0989. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 272 | View → |
| Y660 | DENY ROOM AND BOARD REVENUE CODES WHEN BILLED IN AN OUTPATIENT HOSPITAL SETTING. |
N676
Service does not qualify for payment under the Outpati… |
CO | 60 | View → |
| Y661 | MEDICAL/SURGICAL SUPPLIES AND DME CANNOT BE BILLED WITH PROFESSIONAL FEE REVENUE CODES (0960-0989) … |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 272 | View → |
| Y662 | FACILITY SHOULD NOT BILL OP CLAIM. |
N676
Service does not qualify for payment under the Outpati… |
CO | 60 | View → |
| Y663 | FACILITY SHOULD NOT BILL IP CLAIM. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 272 | View → |
| Y664 | PROSTHESIS BILLED WITH MODIFIER K0 OR KO WILL BE DENIED. |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y665 | DME IS NOT ON THE CAPPED RENTAL LIST AND CANNOT BE BILLED WITH A RENTAL MODIFIER |
N519
Invalid combination of HCPCS modifiers. |
CO | 16 | View → |
| Y666 | PROSTHESIS AND ORTHOSIS MUST BE BILLED WITH MODIFIERS LT OR RT |
N519
Invalid combination of HCPCS modifiers. |
CO | 16 | View → |
| Y667 | CAPPED DME RENTAL IS NOT COVERED BY MEDICARE WHEN BILLED WITHOUT AN APPROPRIATE MODIFIER(RR,KI,KH O… |
N519
Invalid combination of HCPCS modifiers. |
CO | 16 | View → |
| Y668 | DME SERVICE IS NOT COVERED BY CMS AS A RENTAL OR A PURCHASE WHEN THE ITEM HAS PREVIOUSLY BEEN PAID … |
N522
Duplicate of a claim processed, or to be processed, as… |
CO | 18 | View → |
| Y669 | WHEEL CHAIR OR ACCESSORY IS NOT COVERED BY MEDICARE WHEN BILLED WITHOUT AN APPROPRIATE MODIFIER (KX) |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y670 | CUSHIONS AND POSITIONING ACCESSORIES IS NOT COVERED BY MEDICARE WHEN BILLED WITHOUT AN APPROPRIATE … |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y671 | HOSPITAL BED OR ACCESSORY IS NOT COVERED BY MEDICARE WHEN BILLED WITHOUT AN APPROPRIATE MODIFIER (K… |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y672 | TOTAL ELECTRIC HOSPITAL BED IS NOT COVERED BY MEDICARE |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y673 | WHEEL CHAIR OR ACCESSORY IS NOT COVERED BY MEDICARE WHEN BILLED WITHOUT AN APPROPRIATE MODIFIER (KX) |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y674 | OXYGEN OR OXYGEN EQUIPMENT IS NOT COVERED WHEN BILLED MORE THAN ONCE PER MONTH |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y675 | OXYGEN RENTAL EQUIPMENT CPT IS NOT COVERED BY CMS WHEN BILLED WITHOUT RENTAL MODIFIER RR |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y676 | LARGE VOLUME ULTRASONIC NEBULIZER/ACCESSORIES ARE NOT COVERED BY CMS |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | 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.