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Denial Code 199

CARC 199: Revenue code and Procedure code do not match

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

195
Refund issued to an erroneous priority payer for this claim/service
197
preauth/notification absent
198
preauth/notification exceeded
200
Expenses incurred during lapse in coverage
201
Patient is responsible for amount of this claim/service through 'set aside arrangement' or…
202
Non-covered personal comfort or convenience services

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