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Denial Code 189

CARC 189: 'Not otherwise classified' or 'unlisted' procedure code was billed when there is a specific procedure code for this procedure/service

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

186
Level of care change adjustment
187
Consumer Spending Account payments
188
This product/procedure is only covered when used according to FDA recommendations
190
Payment is included in the allowance for a Skilled Nursing Facility qualified stay
192
Non standard adjustment code from paper remittance
193
Original payment decision is being maintained. Upon review, it was determined that this cl…

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