Lifetime benefit maximum has been reached.
Group code
CO, PI or PR
Category
Benefit Maximum/Limitation
Risk level
Medium
Appealable
No
Common RARC pairings
RARCs (Remittance Advice Remark Codes) provide the specific reason detail alongside CARC 35 on the 835 electronic remittance. These are the RARCs seen most often with this CARC.
| RARC | Meaning |
|---|---|
| N117 | This service is paid only once in a patient's lifetime. |
| N370 | Billing exceeds the rental months covered/approved by the payer. |
| N587 | Policy benefits have been exhausted. |
See the full resolution workflow for CARC 35
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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