CO-69Contractual ObligationPayment Adjustment
CO-69 Denial Code: Day outlier amount
An institutional payment adjustment for unusually long stays under DRG-based payment — informational, tied to outlier calculation.
Why CO-69 happens
- ●Length of stay exceeded the DRG's outlier threshold
How to fix a CO-69 denial
- 1
Verify the outlier math against the payer's published methodology; post as adjustment
How to prevent it
Reconcile outlier payments against expected DRG reimbursement in contract management.
Drowning in CO-69 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.