OakClaim
CO-194Contractual ObligationCoding

CO-194 Denial Code: Anesthesia by operating physician not covered

Anesthesia performed by the surgeon/attending themselves isn't separately payable (beyond minimal local anesthesia built into the procedure).

Why CO-194 happens

  • Surgeon billed separate anesthesia for their own procedure
  • Moderate sedation billing rules misapplied

How to fix a CO-194 denial

  1. 1

    If moderate sedation codes legitimately apply, rebill under those rules

  2. 2

    Otherwise write off — included in the surgical allowance

How to prevent it

Bill separate anesthesia only for qualified anesthesia providers.

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