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Denial Code P12

CARC P12: Workers' compensation jurisdictional fee schedule adjustment

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

P9
No available or correlating CPT/HCPCS code to describe this service. To be used for Proper…
P10
Payment reduced to zero due to litigation. Additional information will be sent following t…
P11
The disposition of the related Property & Casualty claim is pending due to litigation. To …
P13
Payment reduced or denied based on workers' compensation jurisdictional regulations or pay…
P14
The Benefit for this Service is included in the payment/allowance for another service/proc…
P15
Workers' Compensation Medical Treatment Guideline Adjustment. To be used for Workers' Comp…

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