All denial codes Back to library
CARC Code Reference

CARC B22: This payment is adjusted based on the diagnosis.

This payment is adjusted based on the diagnosis.

Group code CO, PI or PR
Category Coding
Risk level High
Appealable Yes

See the full resolution workflow for CARC B22

Members of the EDI-Code Intelligence Lab get the step-by-step rework path, appeal language, root-cause drivers, and prevention checklist for every CARC and RARC pairing, plus payer-specific quirks.

Open in EDI Lab