Adjustment code for mandated federal, state or local law/regulation that is not already covered by another code and is mandated before a new code can be created.
Group code
CO, PI or PR
Category
Other Adjustments
Risk level
Low
Appealable
Rarely
See the full resolution workflow for CARC 223
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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