HomeKnowledgeGlossaryCommunitySign in

Denial Code 209

CARC 209: Per regulatory or other agreement. The provider cannot collect this amount from the patient. However, this amount may be billed to subsequent payer. Refund to patient if collected

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

206
NPI - missing
207
NPI - Invalid format
208
NPI - Not matched
210
Payment adjusted because pre-certification/authorization not received in a timely fashion
211
National Drug Codes not eligible for rebate, are not covered
212
Administrative surcharges are not covered

← Back to the full denial codes lookup · POS codes · glossary