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128
CO - Contractual ObligationCoding/Billing
Denial Code CO-128: Newborn Services Bundled
What Does Code 128 Mean?
Newborn care service is not covered because the service is bundled with the mother's delivery charges.
Group Code CO (Contractual Obligation): The provider has agreed to accept the payer's determination. The patient is generally not responsible for this amount.
Why Does This Happen?
Normal newborn care is included in the delivery DRG or global obstetric package.
How to Resolve It
- 1Verify if newborn required additional or separate care beyond routine
- 2If complications existed, document and bill separately with appropriate diagnosis
- 3Appeal with clinical documentation of distinct newborn services
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