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CARC Code Reference

CARC 107: The related or qualifying claim/service was not identified on this claim. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.

The related or qualifying claim/service was not identified on this claim. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.

Group code CO or PI
Category Documentation
Risk level High
Appealable Yes

Common RARC pairings

RARCs (Remittance Advice Remark Codes) provide the specific reason detail alongside CARC 107 on the 835 electronic remittance. These are the RARCs seen most often with this CARC.

RARCMeaning
M121 We pay for this service only when performed with a covered cryosurgical ablation.
MA66 Missing/incomplete/invalid principal procedure code.
N122 Add-on code cannot be billed by itself.
N173 No qualifying hospital stay dates were provided for this episode of care.
N674 Not covered unless a pre-requisite procedure/service has been provided.

See the full resolution workflow for CARC 107

Members of the EDI-Code Intelligence Lab get the step-by-step rework path, appeal language, root-cause drivers, and prevention checklist for every CARC and RARC pairing, plus payer-specific quirks.

Open in EDI Lab