Anesthesia performed by the operating physician, the assistant surgeon or the attending physician.
Group code
CO, PI or PR
Category
Documentation
Risk level
High
Appealable
Review Required
Common RARC pairings
RARCs (Remittance Advice Remark Codes) provide the specific reason detail alongside CARC 194 on the 835 electronic remittance. These are the RARCs seen most often with this CARC.
| RARC | Meaning |
|---|---|
| M80 | Not covered when performed during the same session/date as a previously processed service for the patient. |
See the full resolution workflow for CARC 194
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