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Denial Code 69

CARC 69: Day outlier amount

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

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
70
Cost outlier - Adjustment to compensate for additional costs
74
Indirect Medical Education Adjustment
75
Direct Medical Education Adjustment

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