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Denial Code P17

CARC P17: Referral not authorized by attending physician per regulatory requirement. To be used for Property and Casualty 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

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 …
P18
Procedure is not listed in the jurisdiction fee schedule. An allowance has been made for a…
P19
Procedure has a relative value of zero in the jurisdiction fee schedule, therefore no paym…
P20
Service not paid under jurisdiction allowed outpatient facility fee schedule. To be used f…

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