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Denial Code P20

CARC P20: Service not paid under jurisdiction allowed outpatient facility fee schedule. 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

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…
P19
Procedure has a relative value of zero in the jurisdiction fee schedule, therefore no paym…
P21
Payment denied based on the Medical Payments Coverage and/or Personal Injury Protection Be…
P22
Payment adjusted based on the Medical Payments Coverage and/or Personal Injury Protection …
P23
Medical Payments Coverage or Personal Injury Protection Benefits jurisdictional fee schedu…

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