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CARC Code Reference

CARC 259: Additional payment for Dental/Vision service utilization.

Additional payment for Dental/Vision service utilization.

Group code CO, PI or PR
Category Other Adjustments
Risk level Low
Appealable Rarely

See the full resolution workflow for CARC 259

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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