Care Carta

MRF correctly encodes billing codes and code types

§180.50(b)(2)(iv)(A)-(B)

What it checks

Each item or service has its billing codes, such as CPT, HCPCS, DRG or NDC, and the type of each code.

Checked by CMS's validator. Care Carta runs the official validator CMS publishes for price files and reads this result from its output.

How hospitals did

Passed 85%Failed <1%Blocked 14%Couldn't determine 1%

Results as of Oct 5, 2026. The most common reasons are on the Billing and coding information page.

How Care Carta decides

Validator completed with no mapped code-pair or code-type error.

Scope: At least one code-information object is required and each requires code and type.

Depends on: The CMS validator finished

Version

Ruleset
hpt-v3, version 3
Last changed in
Ruleset 2
CMS data dictionary
3.0.0
Check ID
hpt.mrf.cms.billing_code@1
Replaced
hpt.mrf.coding.code_and_type

Today's results all use this ruleset. A check never changes without a new ruleset. Full catalog (JSON)