Insurances Company will be denying the claim with CO 5 Denial Code – Procedure code/Bill Type is inconsistent with the Place of Service, whenever the CPT code is not compatible with the place the health care service provided to patient.
Now let us understand the below terms to understand the CO 5 Denial Code – The Procedure code/Bill Type is inconsistent with the Place of Service.
Procedure Code: Procedure code is a 5 character code (numeric or alpha numeric) used to describe the healthcare services/treatment provided by the healthcare provider/ hospital. Procedure Code indicated on HCFA 1500 in field location 24D.
Bill Type: Bill Type is a 3 digit code, which describes the type of bill a provider is submitting to insurance. Bill Type is used on UB 04 claims in field locator 4.
Place of Service: Place of Service is also called as POS and it is a 2 digit code, which designates where the actual health care services rendered to patient (Examples: Home, Hospital, office, clinic, etc.) Place of Service indicated on HCFA 1500 in field location 24B.
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