Article Detail - JE Part B
How to Reduce Your Claim Denials
Claim Adjustment Reason Code CO-183 (CARC) indicates that the provider’s specialty is not qualified to refer for this CPT. See the following link for Specialty’s that can order or refer.
Resources
- CMS Ordering & Certifying
- CMS Medicare Provider Enrollment - MLN9658742 November 2021 - Providers who Solely Order or Certify tab
- Missing or Invalid Order/Referring Provider Information
- YouTube tutorials - Ordered, Referred and Prescribed Services
- Denial Code Resolution
How can providers resolve this error?
- Check your PECOS registration – must be a valid NPI with a specialty that is eligible to order or certify
- Cannot be organizational National Provider Identification (NPI) number
- Be sure to submit the correct NPI qualifier on your claims
Last Updated Jan 27 , 2022