HomeKnowledgeGlossaryCommunitySign in

Denial Code 273

CARC 273: Coverage/program guidelines were exceeded

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

270
Claim received by the medical plan, but benefits not available under this plan. Submit the…
271
Prior contractual reductions related to a current periodic payment as part of a contractua…
272
Coverage/program guidelines were not met
274
Fee/Service not payable per patient Care Coordination arrangement
275
Prior payer's patient responsibility not covered
276
Services denied by the prior payer(s) are not covered by this payer

← Back to the full denial codes lookup · POS codes · glossary