CO 16 Denial | Medical Billing And Coding Forum - AAPC

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You are using an out of date browser. It may not display this or other websites correctly.You should upgrade or use an alternative browser. WikiCO 16 Denial

• Thread starter Thread starter tmpearce
• Start date Start date Sep 26, 2011

Create Wiki T

tmpearce

Contributor

Messages 21 Location Christiana, TN Best answers 0 Can someone please tell me what exactly MC is looking for when they deny a claim with a CO-16 denial code? I've had a few come back today and I have no idea what they want in order to get these claims paid. Thank you, Teresa T

Tracey Thompson

Guest

Messages 115 Best answers 0 In my experience with Medicare, the denial code CO-16 is typically used when more information is needed pertaining to the claim. This is not a specific type of information, and it could be different information is needed for each claim denied with this code. Without more information my advice would be to call Medicare and ask what information is needed in order to adjudicate each claim denied with CO-16 code. Hope this helps! T

tmpearce

Contributor

Messages 21 Location Christiana, TN Best answers 0 Great! Thanks for the information. Teresa C

csandri

Contributor

Messages 12 Best answers 0 Co-16 There should be another denial code along with the 16, this will specifically tell you what they need. if you can send me exactly what the remit shows for that claim, I can tell you what they need. Medicare is a pain sometimes and have several denial reason codes in different places on the remits. T

tmpearce

Contributor

Messages 21 Location Christiana, TN Best answers 0 After speaking with a MC rep this morning, turns out they needed a 25 modifier on the 99214 because they were bundling it with a B-12 injection. So, now I know better and will be more careful about it from now on. Thanks! M

Medmiles001

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Messages 5 Location Naperville, IL Best answers 0 Hi, my name is mike You must log in or register to reply here. Share: Facebook X Bluesky LinkedIn WhatsApp Email Share Link

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