I am very new to medical billing in a small GA podiatry office and need your help. I am getting CO 45 denial codes that I am not getting paid anything for. There are no other denial codes of explanation and the whole claim is effectively denied. My first thought is that maybe the office visit code is too high for the diagnosis, but I just don't know.
QuoteI am very new to medical billing in a small GA podiatry office and need your help. I am getting CO 45 denial codes that I am not getting paid anything for. There are no other denial codes of explanation and the whole claim is effectively denied. My first thought is that maybe the office visit code is too high for the diagnosis, but I just don't know. You mention you are very new, you might want to get some further education in regards to Medicare particullarly. C045 is not a denial code, it's an adjustment code (contractual adj) As asilva03 mentioned, if you have zero payments you need to look for deductible and maybe other codes indicated on the bottom of the Medicare EOMB