CO-P7Contractual ObligationWorkers' Comp & Auto
CO-P7 Denial Code: P&C — billed code not in fee schedule
The billed code isn't in the applicable P&C fee schedule — resubmit with codes the schedule recognizes.
Why CO-P7 happens
- ●CPT/HCPCS not present in the jurisdiction's fee database
How to fix a CO-P7 denial
- 1
Map to the schedule's closest appropriate code(s) and resubmit with documentation
How to prevent it
Bill from the jurisdiction's schedule for WC/auto, not your standard charge master.
Drowning in CO-P7 denials?
OakClaim works every denial within 48 hours and builds prevention rules so they stop recurring.