Denial Code 44 (CO-44, PR-44) — Meaning & What to Do

Claim Adjustment Reason Code (CARC)

What denial code 44 means: The charge was reduced because it was above the plan's fee schedule.
What to do about denial code 44: For in-network care you normally shouldn't owe the reduced amount.

CO-44 vs PR-44 vs OA-44: what the prefix means

Code on your EOBWhat the prefix meansWho typically pays
CO-44Contractual obligation — the provider writes the amount offUsually not the patient
PR-44Patient responsibilityThe patient
OA-44Other adjustmentOften another payer or plan

The prefix tells you who is expected to absorb the amount; the number (44) tells you why.

Related codes

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Frequently asked questions about Denial code 44

What does denial code 44 mean on my EOB?

The charge was reduced because it was above the plan's fee schedule.

What should I do about denial code 44?

For in-network care you normally shouldn't owe the reduced amount.

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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.