Claim Denial CO-222 Remark Code N640

[aweigel]

Hello

Trying to figure a denial on a vision claim. Initially we had billed 92134 and a 99213 and then later added the 92083 as it was left off the claim by accident. It was corrected on the original claim, but received the denial of CO-222 with Remark code N640. We have billed these items together many times and have never had an issue so not sure why were are getting the denial now.

Any insight would be great!

Thank you!

[Michele]

They are saying that you've exceeded the max.  Did they deny all 3 codes or just the two that were already billed?  It is common when you submit a corrected claim for them to deny the codes already paid as  exceeding the max.

[aweigel]

No they are just saying this to the one that was added. I appreciate your help!

[Michele]

That is strange.  Have you called to talk to a representative to ask them to explain the denial?  I think I would start there.

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