What is the meaning of the CMS Medicare Claim Denial Reason Code?: CO96, CO/96, CO-96 - Non-covered charge(s).
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
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