The technical component of a service furnished to an inpatient may only be billed by that inpatient facility. You must contact the inpatient facility for technical component reimbursement. If not already billed, you should bill us for the professional component only.
Code type
RARC (Remark)
Category
Plan Provision
Common CARC pairings
RARCs like M96 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC M96 is most often paired with.
| CARC | Meaning |
|---|---|
| 256 | Service not payable per managed care contract. |
See the full resolution workflow for RARC M96
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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