Claim adjustment reason code

Denial code CO-89 meaning

CARC 89, usually seen as CO-89: The payer removed professional fees from the facility charges.

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Reason code
CARC 89
Short name
Professional fees removed
Plain meaning
The payer removed professional fees from the facility charges.
Group codes
CO-89: Contractual obligation. The provider absorbs the amount under its contract or the payer's rules. Do not bill the patient for it.

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

  • Professional services were included on a facility claim.

What to check before resubmitting

  1. Bill professional services on a professional claim (CMS-1500).

Related pages

Questions

What does denial code CO-89 mean?

The payer removed professional fees from the facility charges. This is Rivvi's plain-English summary of CARC 89. X12's exact wording is on x12.org.

How do I fix CO-89?

Bill professional services on a professional claim (CMS-1500).

Can I bill the patient for CO-89?

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 89?

Most often CO (contractual obligation). 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.

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