Denial Code 121 (CO-121, PR-121) — Meaning & What to Do

Claim Adjustment Reason Code (CARC)

What denial code 121 means: An outstanding balance from a previous period was applied.
What to do about denial code 121: Ask for an itemized history of the previous balance.

CO-121 vs PR-121 vs OA-121: what the prefix means

Code on your EOBWhat the prefix meansWho typically pays
CO-121Contractual obligation — the provider writes the amount offUsually not the patient
PR-121Patient responsibilityThe patient
OA-121Other adjustmentOften another payer or plan

The prefix tells you who is expected to absorb the amount; the number (121) tells you why.

Related codes

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Frequently asked questions about Denial code 121

What does denial code 121 mean on my EOB?

An outstanding balance from a previous period was applied.

What should I do about denial code 121?

Ask for an itemized history of the previous balance.

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Last reviewed 2026-07-07 · MDBillCheck Editorial Team. Plain-English explanations are original wording; always verify the specific reason with your insurer.