Procedure has a relative value of zero in the jurisdiction fee schedule, therefore no payment is due. To be used for Property and Casualty only.
Group code
CO, PI or PR
Category
P&C Guidelines
Risk level
Medium
Appealable
Review Required
See the full resolution workflow for CARC P19
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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