OakClaim
CO-89Contractual ObligationCoding

CO-89 Denial Code: Professional fees removed from charges

The payer stripped professional fees out of an institutional charge — the professional component must be billed separately (or wasn't payable here).

Why CO-89 happens

  • Professional and technical components billed together where the payer requires a split
  • Provider-based billing rules not followed

How to fix a CO-89 denial

  1. 1

    Rebill the professional component on the correct claim form (CMS-1500) with proper modifiers (26/TC)

How to prevent it

Automate PC/TC splits for services where components bill separately.

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