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CO-7 - Denial Journal
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CARC

CO-7

CARC CO — Contractual Obligation Coding/Modifier
Quick Facts
Code
CO-7
Type
CARC
Category
Coding/Modifier
Status
Active

Procedure/revenue code inconsistent with the patient's gender

What Does This Code Mean?

The billed code is gender-specific and doesn’t match the patient’s gender on file.

Common Causes

  • Gender-specific procedure billed against a mismatched gender field
  • Data entry error in patient demographics

Recommended Next Steps

  1. Confirm patient demographic data is accurate
  2. Correct and resubmit if it was a data entry error

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

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