The diagnosis is inconsistent with the patient's birth weight. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
Group code
CO or PI
Category
Coding
Risk level
High
Appealable
Yes
Common RARC pairings
RARCs (Remittance Advice Remark Codes) provide the specific reason detail alongside CARC 240 on the 835 electronic remittance. These are the RARCs seen most often with this CARC.
| RARC | Meaning |
|---|---|
| M76 | Missing/incomplete/invalid diagnosis or condition. |
| MA63 | Missing/incomplete/invalid principal diagnosis. |
| N207 | Missing/incomplete/invalid weight. |
| N657 | This should be billed with the appropriate code for these services. |
See the full resolution workflow for CARC 240
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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