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Denial Code 238

CARC 238: Claim spans eligible and ineligible periods of coverage, this is the reduction for the ineligible period

This is a Claim Adjustment Reason Code (CARC). CARCs explain why a payer adjusted or denied a claim line and appear with a group code (CO, PR, OA, PI). Codes appear on the EOB / ERA after a claim is adjudicated.

Reference only — CARC/RARC are national code sets updated periodically. Verify against the current official list before acting on a denial or appeal.

Related CARC codes

235
Sales Tax
236
This procedure or procedure/modifier combination is not compatible with another procedure …
237
Legislated/Regulatory Penalty. Remark code required
239
Claim spans eligible and ineligible periods of coverage. Rebill separate claims
240
The diagnosis is inconsistent with the patient's birth weight
241
Low Income Subsidy Co-payment Amount

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