Implementation of a New Claim Adjustment Reason Code (CARC) No.213. "Noncompliance with the Physician Self-referral Prohibition Legislation or Payer Policy"
This Change Request (CR) instructs contractors and Shared System Maintainers to use the new CARC No. 213, when denying claims based on the non-compliance with the physician self-referral prohibition.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 15, 2008
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