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Denial Code 188

CARC 188: This product/procedure is only covered when used according to FDA recommendations

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

185
The rendering provider is not eligible to perform the service billed
186
Level of care change adjustment
187
Consumer Spending Account payments
189
'Not otherwise classified' or 'unlisted' procedure code was billed when there is a specifi…
190
Payment is included in the allowance for a Skilled Nursing Facility qualified stay
192
Non standard adjustment code from paper remittance

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