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Code type
RARC (Remark)
Category
Coding
Common CARC pairings
RARCs like N517 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC N517 is most often paired with.
| CARC | Meaning |
|---|---|
| 9 | The diagnosis is inconsistent with the patient's age. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
| 10 | The diagnosis is inconsistent with the patient's gender. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. |
| 146 | Diagnosis was invalid for the date(s) of service reported. |
| 181 | Procedure code was invalid on the date of service. |
| 182 | Procedure modifier was invalid on the date of service. |
| 284 | Precertification/authorization/notification/pre-treatment number may be valid but does not apply to the billed services. |
See the full resolution workflow for RARC N517
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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