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CARC
CO-154
CARC
CO — Contractual Obligation
Medical Necessity
Quick Facts
Code
CO-154
Type
CARC
Category
Medical Necessity
Status
Active
Payer deems the information submitted does not support this day's supply
What Does This Code Mean?
Documentation doesn’t support the days-supply quantity billed for a prescription or DME item.
Common Causes
- Days-supply field doesn't match the prescribed quantity/frequency
- Refill billed too early relative to the prior fill
Recommended Next Steps
- Verify the days-supply calculation against the prescription
- Correct and resubmit if it was a data entry error
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Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.