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Denial Code P15

CARC P15: Workers' Compensation Medical Treatment Guideline Adjustment. To be used for Workers' Compensation only

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

P12
Workers' compensation jurisdictional fee schedule adjustment
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…
P16
Medical provider not authorized/certified to provide treatment to injured workers in this …
P17
Referral not authorized by attending physician per regulatory requirement. To be used for …
P18
Procedure is not listed in the jurisdiction fee schedule. An allowance has been made for a…

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