OakClaim
CO-114Contractual ObligationMedical Necessity

CO-114 Denial Code: Procedure/product not FDA approved

The payer denies because the drug, device, or procedure lacks FDA approval (or was used outside an approved pathway).

Why CO-114 happens

  • Investigational device or drug billed to a payer that excludes them
  • Compounded or imported product without approval status

How to fix a CO-114 denial

  1. 1

    If the product is approved, appeal with the FDA listing and product documentation

  2. 2

    For trial-related services, bill per the clinical-trial coverage rules (Q0/Q1 modifiers, trial registry number)

How to prevent it

Verify approval/coverage status before furnishing novel products to insured patients.

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