Claim adjustment reason code

Denial code CO-239 meaning

CARC 239, usually seen as CO-239: The claim covers dates when the patient was eligible and dates when the patient was not.

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Reason code
CARC 239
Short name
Claim spans covered and non-covered dates
Plain meaning
The claim covers dates when the patient was eligible and dates when the patient was not.
Group codes
CO-239: Contractual obligation. The provider absorbs the amount under its contract or the payer's rules. Do not bill the patient for it.

Plain-English summary written by Rivvi. X12 owns the CARC list and its exact wording, which is not reproduced here. Read it on the X12 CARC list (list dated November 1, 2025, checked October 23, 2026). This page does not decide how a claim is paid.

Common causes

  • Coverage started or ended during the dates on the claim.

What to check before resubmitting

  1. Split the claim at the coverage dates and bill each to the right payer.

Related reason codes

Related pages

Questions

What does denial code CO-239 mean?

The claim covers dates when the patient was eligible and dates when the patient was not. This is Rivvi's plain-English summary of CARC 239. X12's exact wording is on x12.org.

How do I fix CO-239?

Split the claim at the coverage dates and bill each to the right payer.

Can I bill the patient for CO-239?

With group code CO, no. CO means the provider absorbs the amount under its contract or the payer's rules.

Which group codes come with CARC 239?

Most often CO (contractual obligation). The group code, not the reason code, says who owes the amount.

What is the difference between a CARC and a RARC?

A claim adjustment reason code (CARC) says why a claim line was paid differently than billed. A remittance advice remark code (RARC) adds detail, such as which field is missing.

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