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202
CO - Contractual ObligationCoverage
Denial Code CO-202: Managed Care Code Adjustment
What Does Code 202 Mean?
Non-covered personal comfort or convenience services. The service is considered a personal convenience item not covered under the plan.
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?
Service classified as personal comfort or convenience (e.g., private room when not medically necessary).
How to Resolve It
- 1If medically necessary, provide documentation
- 2Inform the patient of non-covered charges
- 3Appeal with clinical justification if appropriate
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