CARC Code
252
An attachment/other documentation is required to adjudicate this claim/service. At least one Remark Code must be provided.
85%
Recovery Rate
7-14 days
Avg. Resolution
Easy
Difficulty
Occasional
Frequency
Recommended Action
Submit required documentation with claim
Step-by-Step Resolution
- 1
Identify the specific documentation type requested by the payer
- 2
Collect required documents: X-rays, narratives, medical records, lab results
- 3
Attach documentation to the claim using payer's preferred method (electronic PWK, mail, or portal)
- 4
Resubmit the claim with documentation within the timely filing window
- 5
Build documentation submission into your standard workflow for these procedures going forward
Common Remark Codes (RARC)
These RARC codes often appear alongside CARC 252 on remittance advice.
→ Check payer attachment requirements by procedure code
Payer-Specific Notes
How major payers handle CARC 252 in practice.
Delta Dental
Periodontal and surgical procedures almost always require narrative + X-rays
United Concordia
Crown procedures require pre-treatment X-ray and narrative for all claims
Common 835 Combinations
CARC 252 most often appears with these Group Code + RARC combinations on 835 remittances.
Appeal Letter Template
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