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Denial Code 269

CARC 269: Anesthesia not covered for this service/procedure

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

266
Adjustment for compound preparation cost
267
Claim/service spans multiple months. Remark code required
268
The Claim spans two calendar years. Please resubmit one claim per calendar year
270
Claim received by the medical plan, but benefits not available under this plan. Submit the…
271
Prior contractual reductions related to a current periodic payment as part of a contractua…
272
Coverage/program guidelines were not met

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