CARC Code
P15
Workers' Comp Treatment Guideline Adjustment
The payment was adjusted because the treatment provided does not align with the official medical treatment guidelines established by the Workers' Compensation program. This code is exclusively used for Workers' Compensation claims.
contractualHow to resolve this denial
▶✓ Pre-action checklist — verify before contacting the payer
Review the full remittance advice (ERA/EOB) for additional RARC codes that explain the denial.
Verify the claim was submitted with correct patient eligibility and benefit information.
Check if this denial applies to a specific line item or the entire claim.
▶More about CO-P15 — stats, related codes, appeal template
0%
Recovery Rate
7-14 days
Avg. Resolution
Medium
Difficulty
Rare
Frequency
Payer-Specific Notes
How major payers handle CARC P15 by specialty.
No payer-specific notes available for this code yet.
Appeal Letter Template
Generic appeal template for CARC P15 denials.
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