Service/equipment was not prescribed by a physician.
Group code
CO, PI or PR
Category
Documentation
Risk level
High
Appealable
Yes
Common RARC pairings
RARCs (Remittance Advice Remark Codes) provide the specific reason detail alongside CARC 173 on the 835 electronic remittance. These are the RARCs seen most often with this CARC.
| RARC | Meaning |
|---|---|
| N130 | Consult plan benefit documents/guidelines for information about restrictions for this service. |
| N574 | Our records indicate the ordering/referring provider is of a type/specialty that cannot order or refer. Please verify that the claim ordering/referring provider information is accurate or contact the ordering/referring provider. |
| N667 | Missing prescription. |
| N668 | Incomplete/invalid prescription. |
See the full resolution workflow for CARC 173
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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