Claim adjustment reason code
Denial code OA-193 meaning
CARC 193, usually seen as OA-193: The payer reviewed the claim and kept its original decision.
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- Reason code
- CARC 193
- Short name
- Original decision kept on review
- Plain meaning
- The payer reviewed the claim and kept its original decision.
- Group codes
- OA-193: Other adjustment. An adjustment that is neither the provider's nor the patient's, often from coordination of benefits.
Plain-English summary written by Rivvi. X12 owns the CARC list and its exact wording, which is not reproduced here. Read it on the X12 CARC list (list dated November 1, 2025, checked October 23, 2026). This page does not decide how a claim is paid.
Common causes
- A reconsideration or reopening did not change the result.
What to check before resubmitting
- Read the review letter. Take the next appeal level if you have support.
Remark codes that often come with it
Related pages
Questions
What does denial code OA-193 mean?
The payer reviewed the claim and kept its original decision. This is Rivvi's plain-English summary of CARC 193. X12's exact wording is on x12.org.
How do I fix OA-193?
Read the review letter. Take the next appeal level if you have support.
Can I bill the patient for OA-193?
With group code CO, no. CO means the provider absorbs the amount under its contract or the payer's rules.
Which group codes come with CARC 193?
Most often OA (other adjustment). The group code, not the reason code, says who owes the amount.
What is the difference between a CARC and a RARC?
A claim adjustment reason code (CARC) says why a claim line was paid differently than billed. A remittance advice remark code (RARC) adds detail, such as which field is missing.