Reimbursement for this item is based on the single payment amount required under the DMEPOS Competitive Bidding Program for the area where the patient resides.
Code type
RARC (Remark)
Category
Bundling
Common CARC pairings
RARCs like M112 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC M112 is most often paired with.
| CARC | Meaning |
|---|---|
| 24 | Charges are covered under a capitation agreement/managed care plan. |
| 97 | The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
See the full resolution workflow for RARC M112
Members of the EDI-Code Intelligence Lab get the step-by-step rework path, appeal language, root-cause drivers, and prevention checklist for every RARC and CARC pairing, plus payer-specific quirks.
Open in EDI Lab