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CO-258 - Denial Journal
CARC

CO-258

What This Code Means

Claim/service not covered when patient is in custody/incarcerated.

Common Causes

  • Service falls under a specific plan exclusion
  • Benefit maximum or occurrence limit already reached
  • Wrong plan or benefit category billed

How to Resolve or Appeal

  1. Confirm the specific exclusion or limit that applies with the payer
  2. Check for secondary coverage that may pick up the balance
  3. Bill the patient per financial policy if the exclusion is confirmed accurate

More Denial Codes to Check

RARC MA13 Alert: possible penalties for billing the patient amounts not reported with the PR group code CARC CO-139 Contracted funding agreement — subscriber employed by the provider of services RARC M83 RARC MA33 CARC CO-53 CARC CO-212 RARC MA20 CARC CO-47 CARC PR-204 Service/equipment/drug not covered under the patient's current benefit plan RARC M140 RARC M37

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

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