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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
- Confirm patient demographic data is accurate
- 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.