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Medicare denial code

mcrump

New
Messages
9
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0
Has anyone see the medicare denial code CO-223 and do you understand what it is trying to tell us?:confused:
 

mitchellde

True Blue
Messages
13,303
Location
Columbia, MO
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223 Adjustment code for mandated federal, state or local law/regulation that is not already covered by another code and is mandated before a new code can be created.

I have no idea what this means, what codes were on this claim? what line Item was this attached to.
 

airart

Guru
Messages
124
Location
UT Dallas, TX Chapter
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0
Sequestration Q&As, mentions the CARC 223

Here is a link I found regarding this topic.

Sequestration Q & A's

Question: How is the 2% payment reduction under sequestration identified on the electronic remittance advice (ERA) and the standard paper remittance (SPR)?

Answer: Claim adjustment reason code (CARC) 223 is used to report the sequestration reduction on the ERA and SPR.

Question: What is the verbiage for CARC 223?

Answer: "Adjustment code for mandated Federal, State or local law/regulation that is not already covered by another code and is mandated before a new code can be created."

Question: Will the 2% reduction be reported on the remittance advice in a separate field?

Answer: For institutional Part A claims, the adjustment is reported on the remittance advice at the claim level. For Part B physician/practitioner, supplier, and institutional provider outpatient claims, the adjustment is reported at the line level.

Link:
http://www.cgsmedicare.com/jc/pubs/news/2013/0313/cope21672.html
 
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