Another service billed for the same patient on the same day already absorbed this one.
Usually an appeal
Decide first whether the two really were separate work. If they were, the modifier plus a note that documents the separate service is what wins it. If they were not, this is a correct denial and appealing it costs time you could spend on a winnable one.
M80 commonly rides alongside these. Our reading, not a published mapping: X12 publishes no adjustment-to-remark table.
| Code | What that one means |
|---|---|
| CO 97 | The payer says this is already paid inside another service. |
| OA 18 | The payer treated this as an exact duplicate. |
Upload your denial export 4 columns. No patient data. One page back.