CARC232ReferenceCurrentVerified Aug 15, 2026CARC 232
AR Guide Workflow
Bundling & Included Services
The payment for this service is included in the payment for another service — a global period, an NCCI edit, or a plan rule that bundles the service.
AR Guide explanation
What it means
Institutional transfer amount — explains the DRG amount difference when care crosses multiple facilities.
AR Guide knowledge
Common denial category
Bundling & Included Services — The payment for this service is included in the payment for another service — a global period, an NCCI edit, or a plan rule that bundles the service.
AR Guide knowledge
Common causes
- Transfer between facilities during an admission
- DRG payment split across providers
AR Guide knowledge
What AR should verify
- Review the transfer and DRG assignment
- Confirm the split between facilities is correct
AR Guide knowledge
Recommended action
- Reconcile the institutional transfer amount with the receiving facility
- Appeal only if the DRG split is incorrect
About this guidance: Note
AR Guide knowledge is general reference content written by our team — it is not payer-specific policy and never replaces the payer’s documentation or your contract. Always confirm specifics with the payer.