Denial Code Reference

Medical Billing Denial Code Lookup

Search common Claim Adjustment Reason Codes (CARCs) and use the remittance advice to guide the next billing follow-up step.

Look up common Claim Adjustment Reason Codes

Search common CARCs by number or description. CARCs explain why a claim or service line was paid differently than billed. Group codes such as CO, PR, OA and PI identify the adjustment category or responsibility.

Example

Searching 45 returns the CARC used when a charge exceeds a fee schedule, maximum allowable amount or contracted/legislated arrangement.

Do not stop at the CARC

Review the full remittance advice. Some CARCs require or are further explained by a Remittance Advice Remark Code (RARC), and payer-specific follow-up may still be necessary.

Enter a CARC or keyword to search the reference list.

Source note: CARC terminology is based on the X12 external code list. X12 maintains the current Claim Adjustment Reason Code and Remittance Advice Remark Code lists. This page contains a practical subset for fast lookup; verify the current code status and associated RARC when working a denial. Open X12 CARC list →

How to Read CARC & RARC Codes

Read adjustment codes with the claim, payer and remittance context before choosing a correction or appeal.

Read the guide →

Use the calculator with your own practice data

These tools are free to use and link to. Save the page for recurring monthly review, or share it with the team responsible for billing and revenue-cycle reporting.

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Turn the result into an action plan

Use the tool as a starting point, then request a complimentary billing review for help with denials, A/R, coding workflows and revenue-cycle performance.