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247
CO - Contractual ObligationCoding/Billing
Denial Code CO-247: Non-payable - Covered Under Global
What Does Code 247 Mean?
This service or procedure is not payable because it is considered part of the global surgery package. Services within the global period are included in the surgical payment.
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?
Post-operative or pre-operative service falls within the global surgery period.
How to Resolve It
- 1Check the global surgery period for the primary procedure (0, 10, or 90 days)
- 2If unrelated to the surgery, use modifier -24 (unrelated E/M) or -79 (unrelated procedure)
- 3Document that the service is distinct from the surgical care
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