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Denial Code P7

CARC P7: The applicable fee schedule/fee database does not contain the billed code. Please resubmit a bill with the appropriate fee schedule/fee database code(s) that best describe the ser…

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

P4
Workers' Compensation claim adjudicated as non-compensable. This Payer not liable for clai…
P5
Based on payer reasonable and customary fees. No maximum allowable defined by legislated f…
P6
Based on entitlement to benefits
P8
Claim is under investigation
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…

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