AAPC - Back to school
Results 1 to 7 of 7

Thread: Medicare denial code

  1. #1

    Default Medicare denial code

    AAPC: Back to School
    Has anyone see the medicare denial code CO-223 and do you understand what it is trying to tell us?

  2. #2
    Join Date
    Apr 2007
    Kachina East Valley Coders


    usually if you look at the bottom of the EOB or RA whatever. It gives the description of the codes. Hope that helps

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    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.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4


    lattona1--I know where to find the descripton but I do not understand this one.

  5. #5



  6. #6
    Join Date
    Apr 2007
    Jackson, TN


    It is the 2% Medicare sequestration cut that went into effect April 1,2013

  7. #7
    Join Date
    Apr 2007
    UT Dallas, TX Chapter

    Wink 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.


Similar Threads

  1. Medicare denial code N121
    By bkoski in forum Outpatient Facilities
    Replies: 0
    Last Post: 01-14-2014, 10:02 AM
  2. Medicare denial code 16
    By Candylcook in forum Medicare Regulations
    Replies: 5
    Last Post: 10-10-2013, 05:42 PM
  3. Medicare denial of code G0434 QW
    By adflatham in forum Billing/Reimbursement
    Replies: 4
    Last Post: 11-07-2012, 06:42 AM
  4. Medicare denial code MA101
    By april j in forum Billing/Reimbursement
    Replies: 1
    Last Post: 09-09-2010, 09:29 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.