AGAR Guide
CARC97ReferenceCurrentVerified Aug 15, 2026

CARC 97

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.

Open denial workflow

AR Guide explanation

What it means

The benefit for this service is included in the payment for another service that has already been adjudicated.

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

  • Procedure bundled into a primary procedure's allowance
  • Global period rules applied

AR Guide knowledge

What AR should verify

  1. Confirm which service the payment was included in
  2. Review bundling edits and global period rules

AR Guide knowledge

Recommended action

  1. If the bundling is correct, no action — the service is paid within the other allowance
  2. If bundled incorrectly, appeal with the applicable coding guidance

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.