CARC 218CO · Contractual ObligationDeactivated 2014-07-01
Payment was based on the patient's entitlement to workers' compensation benefits.
- Common causes
- A determination about the extent of the patient's workers' compensation benefit entitlement affected payment.
- Suggested fix
- This code was deactivated by X12 in 2014; review current workers' compensation-specific codes for equivalent determinations.
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 218 mean?
Payment was based on the patient's entitlement to workers' compensation benefits.
How do I resolve CARC 218?
This code was deactivated by X12 in 2014; review current workers' compensation-specific codes for equivalent determinations.
Why does CARC 218 happen?
A determination about the extent of the patient's workers' compensation benefit entitlement affected payment.
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.