OakClaim
CO-231Contractual ObligationCoding

CO-231 Denial Code: Mutually exclusive procedures — same day/setting

Mutually exclusive procedures cannot be done on the same day or in the same setting.

Why CO-231 happens

  • NCCI mutually-exclusive edit pair billed together

How to fix a CO-231 denial

  1. 1

    Check NCCI edits; if clinically distinct and documented, add the appropriate modifier

  2. 2

    Otherwise adjust off the denied line

How to prevent it

Scrub for mutually exclusive pairs pre-submission.

Drowning in CO-231 denials?

OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.

Get a Free Audit

Related coding denials