Medical Billing Forum

Billing => Billing => : TXBiller February 07, 2020, 07:44:06 AM

: CO-97 Remark N19
: TXBiller February 07, 2020, 07:44:06 AM
Can someone please help me figure this out?  I don't understand what it's telling me.

OV 99214 received CO-97 with remark N19 from BCBS of Texas

CO-97  Payment adjusted because the benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.

N19  Procedure code incidental to primary procedure

TIA
: Re: CO-97 Remark N19
: Sriram_Sub February 07, 2020, 08:42:26 AM
What other service was billed on the DOS?
: Re: CO-97 Remark N19
: Michele February 07, 2020, 10:06:29 AM
Yes, we need to know the other services billed.
: Re: CO-97 Remark N19
: kristin February 07, 2020, 10:23:18 PM
A CO-97 denial code means that the line item denied is being bundled into another service rendered on that same DOS, or another service from a previous DOS that the patient is in a global period for. If the line item that denied is unrelated to services on that same DOS, or previous DOS, and can be billed separately, then a modifier is needed to indicate this. But as others said, without knowing what else was billed, there is no way to advise you on what to do next.