A procedure code is missing, incomplete or not valid.
A correction, not an appeal
Check the code against the DATE of service rather than today, because code sets change every January. Correct and resubmit.
M51 commonly rides alongside these. Our reading, not a published mapping: X12 publishes no adjustment-to-remark table.
| Code | What that one means |
|---|---|
| CO 16 | Something the payer needed was missing or wrong on the claim. |
| CO 4 | The procedure code and the modifier do not agree. |
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