CARCNon-Covered

CARC 234: This procedure is not paid separately

This procedure's payment is included in a bundled payment for the overall service.

What this means for your claim

Similar to CARC 97, this code is used when a procedure is considered part of a comprehensive service. It's often used in facility billing.

What to do next

  1. 1

    Verify with your provider that you're not being billed separately for a bundled item.

  2. 2

    If the procedure is clinically distinct and separately performable, ask the provider to appeal with documentation.

  3. 3

    Review the full EOB to confirm there's no double billing.

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