How does RARC N72 pair with CARCs?

RARC N72 is a remark code that appears alongside CARCs on the 835 electronic remittance advice to provide detail about the adjustment.

RARC N72: PPS (Prospective Payment System) code changed by medical rev

PPS (Prospective Payment System) code changed by medical reviewers. Not supported by clinical records.

Code type RARC (Remark)

Category Reference

See the full resolution workflow for RARC N72

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

Open in EDI Lab

RARC N72: PPS (Prospective Payment System) code changed by medical reviewers. Not supported by clinical records.

See the full resolution workflow for RARC N72