The Benefit for this Service is included in the payment/allowance for another service/procedure that has been performed on the same day. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. To be used for Property and Casualty only.
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 P14 on the 835 electronic remittance. These are the RARCs seen most often with this CARC.
| RARC | Meaning |
|---|---|
| M2 | Not paid separately when the patient is an inpatient. |
| M15 | Separately billed services/tests have been bundled as they are considered components of the same procedure. Separate payment is not allowed. |
| M75 | Multiple automated multichannel tests performed on the same day combined for payment. |
| M80 | Not covered when performed during the same session/date as a previously processed service for the patient. |
| M86 | Service denied because payment already made for same/similar procedure within set time frame. |
| M97 | Not paid to practitioner when provided to patient in this place of service. Payment included in the reimbursement issued the facility. |
| M144 | Pre-/post-operative care payment is included in the allowance for the surgery/procedure. |
| N19 | Procedure code incidental to primary procedure. |
See the full resolution workflow for CARC P14
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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