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Denial Code 258

CARC 258: Claim/service not covered when patient is in custody/incarcerated. Applicable federal, state or local authority may cover the claim/service

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

254
Claim received by the dental plan, but benefits not available under this plan. Submit thes…
256
Service not payable per managed care contract
257
The disposition of the claim/service is undetermined during the premium payment grace peri…
259
Additional payment for Dental/Vision service utilization
260
Processed under Medicaid ACA Enhanced Fee Schedule
261
The procedure or service is inconsistent with the patient's history

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