CO 58 - Treatment was deemed by the payer to have been rendered in an inappropriate or invalid place of service
(PLACE OF SERVICE CONFLICTS WITH PROCEDURE CODE. SUBMIT NEW CLAIM)
Resources/tips for avoiding this denial
Denial indicates the procedure code billed is incompatible with the place of service (POS) code.
• Before billing a claim, refer to billing guidelines for the procedure or service being performed.
• The Current Procedural Terminology (CPT) code definition may indicate the place of service. Refer to the current year’s CPT manual for this information.
• Example: A code described as an outpatient service would not be valid if billed with an inpatient POS.
• Respond promptly to a request for additional documentation (ADR). Failure to respond to an ADR will result in claim denials.
Tips to correct the denied claim
Correct the place of service (POS) code or CPT code and resubmit the corrected claim
Subscribe to:
Post Comments (Atom)
Popular Posts
-
MCR - 835 Denial Code List PR - Patient Responsibility - We could bill the patient for this denial however please make sure that any oth... -
BCBS insurance denial codes differ state to state and we could not refer one state denial code to other denial. Here we have list some of th... -
PROVIDER ADJ DETAILS The provider-level adjustment details section is used to show adjustments that are not specific to a particular cla...
-
CPT Code and Definitions 36415 Collection of venous blood by venipuncture 36416 Collection of capillary blood specimen (e.g., finger, hee...
-
Medicaid Claim Denial Codes N1 - N50 N1 You may appeal this decision in writing within the required time limits following receipt of...
-
MCR - 835 Denial Code List CO : Contractual Obligations - Denial based on the contract and as per the fee schedule amount. CO should ...
-
Medicare contractors are permitted to use the following group codes: CO Contractual Obligation (provider is financially liable); CR Co...
-
CODE DESCRIPTION 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040), Bilirubin, total (822...
-
Locating PLBs • Provider-level adjustments can increase or decrease the transaction payment amount. • Adjustment codes are located in P...
-
CO 58 - Treatment was deemed by the payer to have been rendered in an inappropriate or invalid place of service (PLACE OF SERVICE CONFLIC...
If we have a denial for CO58 and can not get paid for the global service-is it correct to then bill for the subsequent care visits since we did not receive payment for the Surgery?
ReplyDelete