CARC Code

253

๐ŸŸก Soft Denial

Sequestration - reduction in federal payment.

90%

Recovery Rate

3-7 days

Avg. Resolution

Easy

Difficulty

Rare

Frequency

Recommended Action

Correct procedure code sequencing and resubmit

Step-by-Step Resolution

  1. 1

    Review the claim for the correct sequencing of related procedure codes

  2. 2

    Verify CPT code relationships (primary vs. add-on codes) per CPT guidelines

  3. 3

    Ensure add-on codes are never billed without their primary/parent code

  4. 4

    Reorder procedure codes in the correct sequence on the claim

  5. 5

    Resubmit the corrected claim with proper code sequencing

Common Remark Codes (RARC)

These RARC codes often appear alongside CARC 253 on remittance advice.

RARC N1ยทAlert: Refer to provider manual for additional guidance

โ†’ Review CPT add-on code pairing requirements

Payer-Specific Notes

How major payers handle CARC 253 in practice.

General

Sequencing errors common when adding supplemental codes without primary procedure codes

Delta Dental

Root canal codes must be billed in correct sequence; retreatment code requires original treatment code on prior claim

Common 835 Combinations

CARC 253 most often appears with these Group Code + RARC combinations on 835 remittances.

Look up any combination โ†’

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