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.
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
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.
Found this code on your bill or EOB?
Upload the document — MD Bill Check decodes every code, checks the math line by line, and explains what's worth questioning.