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CARC
CO-152
CARC
CO — Contractual Obligation
Medical Necessity
Quick Facts
Code
CO-152
Type
CARC
Category
Medical Necessity
Status
Active
Payer deems the information submitted does not support this length of service
What Does This Code Mean?
Documentation doesn’t support the duration of the service billed.
Common Causes
- Time-based code billed without sufficient time documentation
- Session length not clearly recorded in notes
Recommended Next Steps
- Ensure time-based documentation clearly states start/stop times or total minutes
- Appeal with corrected documentation if the time was genuinely met
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Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.