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Denial Code 240

CARC 240: The diagnosis is inconsistent with the patient's birth weight

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

237
Legislated/Regulatory Penalty. Remark code required
238
Claim spans eligible and ineligible periods of coverage, this is the reduction for the ine…
239
Claim spans eligible and ineligible periods of coverage. Rebill separate claims
241
Low Income Subsidy Co-payment Amount
242
Services not provided by network/primary care providers
243
Services not authorized by network/primary care providers

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