Medicare denial code CO 50 , CO 97 & B15
Denial code co - 50 : These are noncovered services because this is not deemed a "medical necessity" by the payer.
Explanation and solution : It means that Medicare thinks that the submitted procedure not required to perform. Check the DX or submit the claims with Medical records.
Denial code CO - 97 : Payment is included in the allowance for the basic service/procedure.
Explanation and solution : It means that payment not paid
seperately. Submit with correct modifier or take adjustment.
Denial code B15 : Claim/service denied/reduced because this procedure/service is not paid separately.
Explanation and solution : The same as above.
Explanation and solution : It means that Medicare thinks that the submitted procedure not required to perform. Check the DX or submit the claims with Medical records.
Denial code CO - 97 : Payment is included in the allowance for the basic service/procedure.
Explanation and solution : It means that payment not paid
seperately. Submit with correct modifier or take adjustment.
Denial code B15 : Claim/service denied/reduced because this procedure/service is not paid separately.
Explanation and solution : The same as above.
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