Payment is included in the Global transplant allowance.
Code type
RARC (Remark)
Category
Bundling
Common CARC pairings
RARCs like N806 ride alongside CARCs on the 835 electronic remittance advice. These are the CARC denials RARC N806 is most often paired with.
| CARC | Meaning |
|---|---|
| 24 | Charges are covered under a capitation agreement/managed care plan. |
| 60 | Charges for outpatient services are not covered when performed within a period of time prior to or after inpatient services. |
| 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. |
| 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.) |
See the full resolution workflow for RARC N806
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