What does CARC 153 mean?

CARC 153 means "Payer deems the information submitted does not support this dosage.". The recommended action is: Submit appeal with clinical documentation supporting day's supply.

How do I resolve CARC 153?

Obtain the complete medical record documenting the clinical need for the service Review the payer's LCD/NCD or coverage policy for the billed procedure Prepare a Letter of Medical Necessity from the treating physician Submit a formal appeal with clinical records, the letter, and peer-reviewed literature Track the appeal and follow up within 30 days

Can CARC 153 be appealed?

CARC 153 has a 35% recovery rate and typically resolves in 21-45 days. Resolution difficulty is rated Hard.

CARC Code

153

🔴 Hard Denial

Payer deems the information submitted does not support this dosage.

35%

Recovery Rate

21-45 days

Avg. Resolution

Hard

Difficulty

Occasional

Frequency

Recommended Action

Submit appeal with clinical documentation supporting day's supply

Step-by-Step Resolution

1
Obtain the complete medical record documenting the clinical need for the service
2
Review the payer's LCD/NCD or coverage policy for the billed procedure
3
Prepare a Letter of Medical Necessity from the treating physician
4
Submit a formal appeal with clinical records, the letter, and peer-reviewed literature
5
Track the appeal and follow up within 30 days

Payer-Specific Notes

How major payers handle CARC 153 in practice.

MetLife Dental

MetLife provides detailed denial reason codes — check EOB for supplemental information.

Appeal Letter Template

Enter your email to access the full appeal template for CARC 153.

We are submitting a formal appeal for claim [CLAIM_NUMBER] for patient [PATIENT_NAME], date of service [DOS]. This claim was denied/adjusted with CARC 153 indicating: "Payer deems info does not support this day's supply.." We have reviewed the claim and are providing the attached documentation to support reconsideration. [SUPPORTING_DOCUMENTATION]. Please reconsider payment per the terms of our contract.

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