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 | |
|---|---|---|---|---|---|
| Y677 | RESPIRATORY ASSIST DEVICE IS NOT COVERED WHEN BILLED WITHOUT MODIFIER KX |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y678 | EXTERNAL INFUSION PUMP/ADMINISTRATION IS NOT COVERED WHEN BILLED WITHOUT MODIFIER KX |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y679 | EXTERNAL INFUSION PUMPS ARE NOT COVERED WHEN BILLED WITHOUT MODIFIER KX |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y680 | COMMODE MUST BE BILLED WITH MODIFIER KX |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y681 | SPEECH GENERATING DEVICE MUST BE BILLED WITH MODIFIER KX |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y682 | HIGH FREQUENCY CHEST WALL OSCILLATION DEVICE MUST BE BILLED WITH MODIFIER KX |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y683 | AUTOMATIC EXTERNAL DEFIBRILLATOR IS NOT COVERED WHEN BILLED WITHOUT MODIFIER KX |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y684 | MISCELLANEOUS DME SUPPLY/ACCESSORY IS NOT COVERED WHEN BILLED WITH WEARABLE, AUTOMATIC EXTERNAL DEF… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y685 | HOME GLUCOSE MONITORING SUPPLIES MUST BE BILLED WITH AN APPROPRIATE MODIFIER. |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y686 | SUCTION VALVE BILLED WITH A LOCKING MECHANISM IS NOT COVERED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y687 | GASTROSTOMY/JEJUNOSTOMY TUBE IS NOT COVERED BY CMS WHEN BILLED MORE THAN ONCE IN A 90 DAY PERIOD. |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y688 | ENTERAL FEEDING KITS IS NOT COVERED BY CMS WHEN BILLED MORE THAN ONCE PER MONTH. |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y689 | ANKLE-FOOT ORTHOSIS/KNEE-ANKLE-FOOT ORTHOSIS MUST BE BILLED WITH MODIFIER KX. |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y690 | ORTHOPEDIC FOOTWEAR IS NOT COVERED BY CMS. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y691 | ORTHOPEDIC SHOES ARE NOT COVERED BY CMS WHEN BILLED WITHOUT A KX MODIFIER |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y692 | THERAPEUTIC SHOES/INSERTS/MODIFICATIONS FOR DIABETICS ONLY IS NOT COVERED BY CMS WHEN BILLED WITHOU… |
M64
Missing/incomplete/invalid other diagnosis. |
CO | 16 | View → |
| Y693 | THERAPEUTIC INSERT FOR DIABETICS ONLY IS NOT COVERED BY CMS WHEN BILLED WITH L5000 ON THE SAME CLAI… |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y694 | NEGATIVE WOUND THERAPY PRESSURE PUMP MUST BE BILLED WITH MODIFIER KX. |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y695 | NON-DME CODE BILLED BY A DME PROVIDER WILL BE DENIED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y696 | PROCEDURE BILLED IN INPATIENT OR FACILITY PLACES OF SERVICE WILL BE DENIED. |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y697 | CAPPED DME RENTAL IS NOT COVERED BY MEDICARE WHEN BILLED MORE THAN ONCE PER MONTH |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y698 | CAPPED DME RENTAL IS NOT COVERED BY MEDICARE WHEN BILLED MORE THAN ONCE 21 DAY PERIOD |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y699 | CAPPED DME RENTAL IS NOT COVERED BY MEDICARE WHEN BILLED MORE THAN 7 TIMES IN A 13 MONTH PERIOD |
N640
Exceeds number/frequency approved/allowed within time … |
CO | 151 | View → |
| Y7 | PRINCIPAL DIAGNOSIS DESCRIBES AN EXTERNAL CAUSE OR REQUIRES THE ICD CODE FOR THE FIRST UNDERLYING D… |
MA63
Missing/incomplete/invalid principal diagnosis. |
CO | 16 | View → |
| Y700 | HOSPITAL BED REQUIRES APPROPRIATE CODE WHEN BILLED WITH SIDE RAILS |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 16 | View → |
| Y701 | KNEE ORTHOSIS AND ORTHOTIC ADDITIONS MUST BE BILLED WITH MODIFIER KX |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y702 | THERAPEUTIC SHOES/INSERTS/MODIFICATIONS FOR DIABETICS ONLY ARE NOT COVERED BY CMS WHEN BILLED WITHO… |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y703 | THERAPEUTIC SHOE/INSERT/MODIFICATION FOR DIABETICS ONLY IS NOT COVERED BY CMS WHEN BILLED WITHOUT A… |
N657
This should be billed with the appropriate code for th… |
CO | 4 | View → |
| Y704 | SURGICAL DRESING MODIFIER CAN CAN ONLY BE BILLED WITH SURGICAL DRESSING CODE |
N519
Invalid combination of HCPCS modifiers. |
CO | 4 | View → |
| Y705 | 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 → |
| Y706 | 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 → |
| Y707 | 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 → |
| Y708 | BLOOD PRODUCT IS A NON-COVERED SERVICE |
N130
Consult plan benefit documents/guidelines for informat… |
CO | 96 | View → |
| Y709 | 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 → |
| Y710 | 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 → |
| Y711 | 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 → |
| Y712 | 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 → |
| Y713 | 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 → |
| Y714 | 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 → |
| Y715 | 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 → |
| Y716 | 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 → |
| Y717 | 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 → |
| Y718 | 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 → |
| Y719 | 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 → |
| Y720 | 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 → |
| Y721 | 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 → |
| Y722 | 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 → |
| Y723 | 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 → |
| Y724 | 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 → |
| Y725 | 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 → |
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.