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Denial Code 59

CARC 59: Processed based on multiple or concurrent procedure rules

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

55
Procedure/treatment/drug is deemed experimental/investigational by the payer
56
Procedure/treatment has not been deemed 'proven to be effective' by the payer
58
Treatment was deemed by the payer to have been rendered in an inappropriate or invalid pla…
60
Charges for outpatient services are not covered when performed within a period of time pri…
61
Adjusted for failure to obtain second surgical opinion
66
Blood Deductible

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