CARC · CO group
CO-181
Procedure code was invalid on the date of service
Contractual obligation; provider write-off unless appealed
- What it means
- The CPT or HCPCS code was not valid on that date.
- Likely cause
- Annual code-set change not loaded into the EHR, or a deleted telehealth code still in a favorites list.
- How to fix it
- Update the code set each January, purge retired favorites, and rebill with the valid code.
- Revenue impact
- Fully recoverable, and a clear sign of stale EHR configuration.
- coding
- code set
- configuration
Related codes
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