Procedure/product not approved by the Food and Drug Administration.
Group code
CO, PI or PR
Category
Non-Covered Service
Risk level
Medium
Appealable
No
Common RARC pairings
RARCs (Remittance Advice Remark Codes) provide the specific reason detail alongside CARC 114 on the 835 electronic remittance. These are the RARCs seen most often with this CARC.
| RARC | Meaning |
|---|---|
| M61 | We cannot pay for this as the approval period for the FDA clinical trial has expired. |
| M102 | Service not performed on equipment approved by the FDA for this purpose. |
| N623 | Not covered when deemed unscientific/unproven/outmoded/experimental/excessive/inappropriate. |
See the full resolution workflow for CARC 114
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.
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