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Denial Codes

Explore our comprehensive library of denial codes, covering the most common reasons insurance claims are rejected or delayed. This resource is designed to help healthcare professionals identify, understand, and address claim denials efficiently—supporting faster resolution, accurate resubmission, and improved reimbursement outcomes.

CO-231 Denial Code: Mutually Exclusive Same-Day Procedures
Featured

CO-231 Denial Code: Mutually Exclusive Same-Day Procedures

Discover essential insights on the CO-231 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

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Dr. Danni Steimberg
7 min read
PR-51 Denial Code: Pre-existing Condition
Coding

PR-51 Denial Code: Pre-existing Condition

Discover essential insights on the PR-51 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

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Dr. Danni Steimberg
7 min read
PR-40 Denial Code: Emergent/Urgent Care Qualifications Unmet
Coding

PR-40 Denial Code: Emergent/Urgent Care Qualifications Unmet

Discover essential insights on the PR-40 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
CO-129 Denial Code: Incorrect Prior Processing Information
Coding

CO-129 Denial Code: Incorrect Prior Processing Information

Discover essential insights on the CO-129 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

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Dr. Danni Steimberg
6 min read
PR-100 Denial Code: Direct Payment Made
Coding

PR-100 Denial Code: Direct Payment Made

Discover essential insights on the PR-100 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
PR-272 Denial Code: Services Not Covered By Insurance Policy
Coding

PR-272 Denial Code: Services Not Covered By Insurance Policy

Discover essential insights on the PR-272 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
CO-183 Denial Code: Provider Ineligible to Refer Service
Coding

CO-183 Denial Code: Provider Ineligible to Refer Service

Discover essential insights on the CO-183 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
PR-19 Denial Code: Worker's Comp Potentially Responsible
Coding

PR-19 Denial Code: Worker's Comp Potentially Responsible

Discover essential insights on the PR-19 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
7 min read
PR-32 Denial Code: Patient Ineligible as Dependent
Coding

PR-32 Denial Code: Patient Ineligible as Dependent

Discover essential insights on the PR-32 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
CO-6 Denial Code: Age Doesn't Match Procedure/Revenue Code
Coding

CO-6 Denial Code: Age Doesn't Match Procedure/Revenue Code

Discover essential insights on the CO-6 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

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Dr. Danni Steimberg
6 min read
BO-10 Denial Code: Allowed Amount Reduced
Coding

BO-10 Denial Code: Allowed Amount Reduced

Discover essential insights on the BO-10 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

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Dr. Danni Steimberg
6 min read
CO-246 Denial Code: Non-Payable - Reporting Purposes
Coding

CO-246 Denial Code: Non-Payable - Reporting Purposes

Discover essential insights on the CO-246 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
PR-177 Denial Code: Eligibility Requirements Not Met
Coding

PR-177 Denial Code: Eligibility Requirements Not Met

Discover essential insights on the PR-177 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
CO-58 Denial Code: Inappropriate/Invalid Place of Service
Coding

CO-58 Denial Code: Inappropriate/Invalid Place of Service

Discover essential insights on the CO-58 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
CO-185 Denial Code: Provider Ineligible to Perform Service
Coding

CO-185 Denial Code: Provider Ineligible to Perform Service

Discover essential insights on the CO-185 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
CO-18 Denial Code: Duplicate Claim/Service
Coding

CO-18 Denial Code: Duplicate Claim/Service

Discover essential insights on the CO-18 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
B-16 Denial Code: New Patient Qualifications Not Met
Coding

B-16 Denial Code: New Patient Qualifications Not Met

Discover essential insights on the B-16 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
7 min read
CO-131 Denial Code: Negotiated Discount
Coding

CO-131 Denial Code: Negotiated Discount

Discover essential insights on the CO-131 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
PR-1 Denial Code: Patient Responsible - Deductible Amount
Coding

PR-1 Denial Code: Patient Responsible - Deductible Amount

Discover essential insights on the PR-1 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
B-11 Denial Code: Claim Transferred To Another Payer
Coding

B-11 Denial Code: Claim Transferred To Another Payer

Discover essential insights on the B-11 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
7 min read
PR-3 Denial Code: Patient Responsible - Copayment Amount
Coding

PR-3 Denial Code: Patient Responsible - Copayment Amount

Discover essential insights on the PR-3 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
CO-288 Denial Code: Referral Missing
Coding

CO-288 Denial Code: Referral Missing

Discover essential insights on the CO-288 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
PR-2 Denial Code: Patient Responsible – Coinsurance Amount
Coding

PR-2 Denial Code: Patient Responsible – Coinsurance Amount

Discover essential insights on the PR-2 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
PR-242 Denial Code: Services Not Provided By Network/Primary Care Providers
Coding

PR-242 Denial Code: Services Not Provided By Providers

Discover essential insights on the PR-242 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
CO-11 Denial Code: Diagnosis/Procedure Mismatch
Coding

CO-11 Denial Code: Diagnosis/Procedure Mismatch

Discover essential insights on the CO-11 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
CO-256 Denial Code: Service Not Covered By Insurance
Coding

CO-256 Denial Code: Service Not Covered By Insurance

Discover essential insights on the CO-256 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
PR-227 Denial Code: Missing or Incomplete Information
Coding

PR-227 Denial Code: Missing or Incomplete Information

Discover essential insights on the PR-227 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
CO-226 Denial Code: Invalid or Missing Required Information
Coding

CO-226 Denial Code: Invalid or Missing Required Information

Discover essential insights on the CO-226 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
CO-24 Denial Code: Charges Covered Under Capitation Agreement/Managed Care Plan
Coding

CO-24 Denial Code: Charges Covered By Capitation Agreement

Discover essential insights on the CO-24 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
CO-234 Denial Code: Procedure Not Separately Payable
Coding

CO-234 Denial Code: Procedure Not Separately Payable

Discover essential insights on the CO-234 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
PR-27 Denial Code: Patient Responsible - Coverage Terminated
Coding

PR-27 Denial Code: Patient Responsible - Coverage Terminated

Discover essential insights on the PR-27 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
CO-252 Denial Code: Missing Documentation or Attachments
Coding

CO-252 Denial Code: Missing Documentation or Attachments

Discover essential insights on the CO-252 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read
CO-45 Denial Code: Charge Exceeds Contracted Allowable Amount
Coding

CO-45 Denial Code: Charge Exceeds Contracted Amount

Discover essential insights on the CO-45 Denial Code code for health professionals. Enhance your practice and navigate billing with confidence.

Dr. Danni Steimberg's profile picture
Dr. Danni Steimberg
6 min read

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