Denial Code 272 (CO-272, PR-272) — Meaning & What to Do
Claim Adjustment Reason Code (CARC)
What denial code 272 means: Coverage/program guidelines weren't met.
What to do about denial code 272: If you believe this is wrong, you can appeal with supporting notes from your doctor.
CO-272 vs PR-272 vs OA-272: what the prefix means
| Code on your EOB | What the prefix means | Who typically pays |
|---|---|---|
| CO-272 | Contractual obligation — the provider writes the amount off | Usually not the patient |
| PR-272 | Patient responsibility | The patient |
| OA-272 | Other adjustment | Often another payer or plan |
The prefix tells you who is expected to absorb the amount; the number (272) tells you why.
Related codes
CARC 256This service isn't payable under a managed-care contract.
CARC 273Coverage or program limits have been exceeded.
CARC 253A federal sequestration (across-the-board) reduction was applied.
CARC 288A referral is required but was not provided.
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 272
What does denial code 272 mean on my EOB?
Coverage/program guidelines weren't met.
What should I do about denial code 272?
If you believe this is wrong, you can appeal with supporting notes from your doctor.
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.