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Denial Code 222

CARC 222: Exceeds the contracted maximum number of hours/days/units by this provider for this period. This is not patient specific

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

215
Based on subrogation of a third party settlement
216
Based on the findings of a review organization or the payer's findings
219
Based on extent of injury
223
Adjustment code for mandated federal, state or local law/regulation that is not already co…
224
Patient identification compromised by identity theft. Identity verification required for p…
225
Penalty or Interest Payment by Payer

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