CARC 193CO · Contractual Obligation
The payer reviewed the claim again, often after an appeal or inquiry, and confirmed the original payment decision was correct.
- Common causes
- A reconsideration or appeal request was submitted, and the payer's review upheld the original determination.
- Suggested fix
- If you still disagree, pursue the next level of appeal with additional documentation or evidence not previously considered.
Related Contractual Obligation codes
107This claim depends on another related claim or service being referenced, but that link wasn't provided.11The diagnosis code doesn't support medical necessity for the procedure billed, based on the payer's coverage edits.13The claim shows a date of service after the patient's recorded date of death.146The diagnosis code billed wasn't a valid, active code as of the date of service.150The documentation submitted doesn't justify the complexity or level of the service billed, commonly seen with evaluation and management visit levels.16The claim is missing required information or contains a billing error that prevented the payer from processing it.170This payer doesn't reimburse this specific provider type for this service.171This payer doesn't cover this service when it's billed by this provider type in this particular facility setting.
Frequently asked questions
What does CARC 193 mean?
The payer reviewed the claim again, often after an appeal or inquiry, and confirmed the original payment decision was correct.
How do I resolve CARC 193?
If you still disagree, pursue the next level of appeal with additional documentation or evidence not previously considered.
Why does CARC 193 happen?
A reconsideration or appeal request was submitted, and the payer's review upheld the original determination.
CARC codes maintained by X12 (x12.org). Descriptions on this site are original reference interpretations. Always verify codes with authoritative sources before making billing decisions.