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Denial Code 170

CARC 170: Payment is denied when performed/billed by this type of provider

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

166
These services were submitted after this payers responsibility for processing claims under…
167
This diagnosis(es) is not covered
169
Alternate benefit has been provided
171
Payment is denied when performed/billed by this type of provider in this type of facility
172
Payment is adjusted when performed/billed by a provider of this specialty
173
Service/equipment was not prescribed by a physician

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