CO-9 and CO-10 Denial Code Description

CO 9 and CO 10 denial code Description

In medical billing, the CO-9 denial code indicates that the diagnosis code submitted on a claim is not consistent with the patient’s age. This means that the medical condition or diagnosis reported does not align with the expected conditions for someone of that particular age. For example, if a claim is submitted for a 5-year-old … Read more

CO 5 Denial Code – Procedure Code is Inconsistent with Place of Service

co 5 denial code explanation

The concept of medical billing is quite structured and formalized in a way that it helps not only the claimants but also the insurance company itself. In order to get the claim from your insurance company, it is imperative that you make the details inclusive and cohesive. Co 5 denial code means the “procedure code … Read more

CO 4 Denial Code – Procedure code is inconsistent with the Modifier

denial code co-4

When it comes to getting the claims from your insurance, it is quite a lengthy affair. One has to be specifically clear about what the requirements are and ensure that there is no kind of misinformation mentioned. CO 4 Denial code represents procedure code is not compatible with the modifier used in services Billing for … Read more

CO-29 Denial Code Description -Timely Filing Limit Expired

co 29 denial code description and handeling

Medical billing is an industry that is a bit different however extremely well structured. This is the primary reason why every instance is covered and there is a code allocated to each. In this article we will discuss on co-29 denial code description, it means the Timely filing limit has expired to file a claim … Read more

EOB Codes List 2024 – Explanation of Benefit Codes

EOB codes list with detail reason

EOB Codes are present on the last page of remittance advice, these EOB codes or explanation of benefit codes are in form of numbers and every number has a specific meaning. We have created a list of EOB reason codes for the help of people who are working on denials, AR-follow-up, medical coding, etc. The … Read more

CO 109 Denial Code – Service Not Covered by this Payer (2024)

CO 109 denial code meaning and solution

Denials are playing a very important part in medical Billing, If denials are handled very carefully then revenue increased automatically. CO 109 Denial Code is a common denial in RCM so we learn how to handle this denial. CO 109 Denial Code Descriptions Co109 denial code means Claim or Service not covered by this payer … Read more

CO 8 Denial Code| Procedure code inconsistent with provider

co 8 denial code

The medical billing process is a bit more complicated than usual. Hence, it is very crucial that one does the right kind of research and then claims for the insurance. In this article, we will discuss CO8 denial code, which means The Procedure or CPT is inconsistent with the provider type or specialty (taxonomy). Do … Read more

CO 197 Denial Code – Pre-Certification or Authorization not Present (2024)

co 197 denial code meaning and description

Have you received a CO 197 denial code from the insurance provider officials, and you are confused because you are not sure what it is? There are so many questions that come to one’s mind, and this is very natural. “Denial Code CO-197 means- Precertification/authorization/notification absent“ Well, if you have been getting a code of … Read more

CO 45 Denial Code- Charges exceed the fee schedule/maximum allowable or contracted/legislated fee arrangement

CO 45 denial code in medical billing and coding

As a physician, dealing with insurance companies and their complex payment systems can be a frustrating and confusing experience. One of the most common issues physicians encounter is the CO 45 denial code, which appears on Explanation of Benefits (EOB) or Electronic Remittance Advice (ERA) when the insurance plan’s contractually allowed amount is less than … Read more

CO 24 Denial Code-Charges are covered under a capitation agreement

co 24 denial codes description

Are you aware of the times when the claims were denied by medical insurance authorities? The co 24 denial code is one such code that has caused ample confusion already. There may be a number of questions coming to your mind about the Denial Code CO 24 and thus to clear the same, here we … Read more