No separate payment for an injection administered during an office visit, and no payment for a full office visit if the patient only received an injection.
Code type
RARC (Remark)
Category
Bundling
Common CARC pairings
RARCs like M14 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC M14 is most often paired with.
| CARC | Meaning |
|---|---|
| 234 | This procedure is not paid separately. At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.) |
| 256 | Service not payable per managed care contract. |
See the full resolution workflow for RARC M14
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.
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