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CO-234Contractual ObligationContractual

CO-234 Denial Code: Procedure not paid separately

This procedure isn't separately payable — bundled by policy, with the paired remark code naming the specific rule.

Why CO-234 happens

  • Status-indicator packaging (OPPS packaged services)
  • Always-bundled codes billed as separate lines

How to fix a CO-234 denial

  1. 1

    Read the remark code; if a modifier legitimately unbundles, rebill with documentation

  2. 2

    Otherwise write off as bundled

How to prevent it

Load payer packaging logic into the scrubber to catch these pre-submission.

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