CO 45 Denial Code

co45 Description :

Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement. Usage: This adjustment amount cannot equal the total service or claim charge amount; and must not duplicate provider adjustment amounts (payments and contractual reductions) that have resulted from prior payer(s) adjudication. (Use only with Group Codes PR or CO depending upon liability)
Start: 01/01/1995
Payment was made for this claim conditionally because an HHA episode of care has been filed for this patient.
Denied. Type service/procedure code is invalid. Refer to current fee schedule for valid code.
No EOB Please resubmit with EOB in order to complete processing of the claim.

CO-45 ADJUSTMENT REASON CODE

Denial code CO-45.

CO-45 REMARK CODE

CO-45

Similar CO-45 Denial Codes



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