CARC 214CO · Contractual ObligationDeactivated 2014-07-01
The workers' compensation payer determined this claim wasn't compensable under workers' compensation rules.
- Common causes
- The injury or condition was determined not to be work-related, or otherwise didn't meet workers' compensation compensability criteria.
- Suggested fix
- This code was deactivated by X12 in 2014 in favor of property & casualty-specific codes. On legacy remittances, rebill to the patient's health insurance if workers' compensation isn't responsible.
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 214 mean?
The workers' compensation payer determined this claim wasn't compensable under workers' compensation rules.
How do I resolve CARC 214?
This code was deactivated by X12 in 2014 in favor of property & casualty-specific codes. On legacy remittances, rebill to the patient's health insurance if workers' compensation isn't responsible.
Why does CARC 214 happen?
The injury or condition was determined not to be work-related, or otherwise didn't meet workers' compensation compensability criteria.
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.