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Denial Code 160

CARC 160: Injury/illness was the result of an activity that is a benefit exclusion

This is a Claim Adjustment Reason Code (CARC). CARCs explain why a payer adjusted or denied a claim line and appear with a group code (CO, PR, OA, PI). Codes appear on the EOB / ERA after a claim is adjudicated.

Reference only — CARC/RARC are national code sets updated periodically. Verify against the current official list before acting on a denial or appeal.

Related CARC codes

157
Service/procedure was provided as a result of an act of war
158
Service/procedure was provided outside of the United States
159
Service/procedure was provided as a result of terrorism
161
Provider performance bonus
163
Attachment/other documentation referenced on the claim was not received
164
Attachment/other documentation referenced on the claim was not received in a timely fashio…

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