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CARC Code Reference

CARC B10: Allowed amount has been reduced because a component of the basic procedure/test was paid. The beneficiary is not liable for more than the charge limit for the basic procedure/test.

Allowed amount has been reduced because a component of the basic procedure/test was paid. The beneficiary is not liable for more than the charge limit for the basic procedure/test.

Group code CO, PI or PR
Category Bundling
Risk level Medium
Appealable Rarely

Common RARC pairings

RARCs (Remittance Advice Remark Codes) provide the specific reason detail alongside CARC B10 on the 835 electronic remittance. These are the RARCs seen most often with this CARC.

RARCMeaning
M144 Pre-/post-operative care payment is included in the allowance for the surgery/procedure.

See the full resolution workflow for CARC B10

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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