Denial Code 192 (CO-192, PR-192) — Meaning & What to Do
Claim Adjustment Reason Code (CARC)
What denial code 192 means: A non-standard adjustment was applied by the plan.
What to do about denial code 192: Ask the provider's billing office to explain or correct this, and resubmit if needed.
CO-192 vs PR-192 vs OA-192: what the prefix means
| Code on your EOB | What the prefix means | Who typically pays |
|---|---|---|
| CO-192 | Contractual obligation — the provider writes the amount off | Usually not the patient |
| PR-192 | Patient responsibility | The patient |
| OA-192 | Other adjustment | Often another payer or plan |
The prefix tells you who is expected to absorb the amount; the number (192) tells you why.
Seeing denial code 192 on your EOB?
A denial code tells you what the payer reported, but it may not tell the whole story. Reviewing your EOB and bill together can help clarify what may need attention.
Related codes
CARC 189A not-otherwise-classified code was used when a specific code exists.
CARC 193The original claim was rejected or denied for a coverage reason.
CARC 188This product/procedure is only covered when used with another service.
CARC 198Pre-authorization was over the approved limit or number of visits.
Keep reviewing your bill
- Medical Bill vs EOB: What Is the Difference?
- How to Dispute a Medical Bill — Find Billing Errors Before You Pay
- What Is an Itemized Medical Bill? How to Request One
Frequently asked questions about Denial code 192
What does denial code 192 mean on my EOB?
A non-standard adjustment was applied by the plan.
What should I do about denial code 192?
Ask the provider's billing office to explain or correct this, and resubmit if needed.
Seeing this code on your own EOB?
Upload the EOB, the bill, or both — MD Bill Check reads the codes on your documents, compares them side by side, and flags what's worth questioning. Free, no account needed.