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CARC
B9
CARC
Eligibility
Quick Facts
Code
B9
Type
CARC
Category
Eligibility
Status
Active
Patient is enrolled in a Hospice
What Does This Code Mean?
The patient’s hospice enrollment affects coverage for this claim; certain services are bundled into the hospice benefit.
Common Causes
- Service falls under the hospice benefit and isn't separately payable
- Hospice enrollment status not checked before billing
Recommended Next Steps
- Confirm hospice enrollment status and dates for the patient
- Bill through the hospice provider if the service is bundled, or confirm it qualifies as unrelated to the terminal diagnosis
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Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.