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Providing free resources and useful informations for Physicians,
Office Managers, Medical Billers and Medical Coders
What is the meaning of the CMS Medicare Claim
Denial Reason Code?: CO-96, CO/96, CO96

    What is the meaning of the CMS Medicare Claim
    Denial Reason Code?: CO96, CO/96, CO-96    -  Non-

    What You Should DO:

    1. Check your code, is this a covered charge based on the
    assigned code?. You will usually encounter this reason
    code with the consult code (eg) 99241-45; 99251-99255;
    99241-99245. Remember, Medicare no longer recognize
    these codes as covered services effective January 1, 2010.


    Useful References:  CPT Code Books, CMS Website
    (www.cms.gov), CCI Quarterly Updates, CPT Assistant
    Publications, Diagnosis Code Books