OakClaim
CO-219Contractual ObligationWorkers' Comp & Auto

CO-219 Denial Code: Based on extent of injury

WC/liability adjustment based on the adjudicated extent of injury — jurisdictional rules control what's payable.

Why CO-219 happens

  • Treatment deemed beyond the accepted injury's scope

How to fix a CO-219 denial

  1. 1

    Review the jurisdictional reference in the 835; dispute through the WC/auto process with causation documentation

How to prevent it

Tie every service line to the accepted injury/body part in documentation.

Drowning in CO-219 denials?

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