HomeKnowledgeGlossaryCommunitySign in

Denial Code 212

CARC 212: Administrative surcharges are not covered

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

209
Per regulatory or other agreement. The provider cannot collect this amount from the patien…
210
Payment adjusted because pre-certification/authorization not received in a timely fashion
211
National Drug Codes not eligible for rebate, are not covered
213
Non-compliance with the physician self referral prohibition legislation or payer policy
215
Based on subrogation of a third party settlement
216
Based on the findings of a review organization or the payer's findings

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