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Denial Code P13

CARC P13: Payment reduced or denied based on workers' compensation jurisdictional regulations or payment policies, use only if no other code is applicable

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

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 …
P12
Workers' compensation jurisdictional fee schedule adjustment
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…
P16
Medical provider not authorized/certified to provide treatment to injured workers in this …

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