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CO-146Contractual ObligationCoding

CO-146 Denial Code: Diagnosis was invalid for the date of service

Payment denied because the diagnosis was invalid for the date(s) of service reported.

Why CO-146 happens

  • Deleted/replaced ICD-10 code used after its end date
  • New ICD-10 code used before its October 1 effective date

How to fix a CO-146 denial

  1. 1

    Look up the valid code set for the DOS

  2. 2

    Correct the diagnosis and resubmit

How to prevent it

Update ICD-10 tables every October 1 without fail.

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