CARC 255CO · Contractual ObligationDeactivated 2014-07-01
The claim was adjusted with a final disposition pending resolution of related litigation, in a property & casualty context.
- Common causes
- Legal proceedings related to the claim mean the final payment amount isn't yet settled.
- Suggested fix
- This code was deactivated by X12 in 2014. On legacy remittances, track the litigation status and request reprocessing once it's resolved.
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 255 mean?
The claim was adjusted with a final disposition pending resolution of related litigation, in a property & casualty context.
How do I resolve CARC 255?
This code was deactivated by X12 in 2014. On legacy remittances, track the litigation status and request reprocessing once it's resolved.
Why does CARC 255 happen?
Legal proceedings related to the claim mean the final payment amount isn't yet settled.
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.