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CO-203Contractual ObligationCoding

CO-203 Denial Code: Discontinued or reduced service

Payment reduced because the service was discontinued partway or reduced in scope.

Why CO-203 happens

  • Discontinued-procedure modifiers (52/53/73/74) triggering percentage payment

How to fix a CO-203 denial

  1. 1

    Verify the reduction percentage matches payer policy for the modifier used

  2. 2

    Appeal with op notes if the payer under-recognized completed work

How to prevent it

Document exactly how much of the procedure was completed when discontinuing.

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