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CO-153 - Denial Journal
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CARC

CO-153

CARC CO — Contractual Obligation Medical Necessity
Quick Facts
Code
CO-153
Type
CARC
Category
Medical Necessity
Status
Active

Payer deems the information submitted does not support this dosage

What Does This Code Mean?

Documentation doesn’t support the dosage of a drug or biologic billed.

Common Causes

  • Units billed don't match the documented dosage administered
  • Dosage exceeds typical/FDA-labeled amounts without justification

Recommended Next Steps

  1. Confirm units billed match the medical record exactly
  2. Appeal with dosage justification if clinically appropriate

More Denial Codes to Check

CARC CO-152 RARC M123 RARC MA50 RARC M42 RARC M25 CARC CO-55 RARC N362 CARC CO-261

Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.

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