CO-152
Payer deems the information submitted does not support this length of service
What This Code Means
Documentation doesn’t support the duration of the service billed.
Common Causes
- Time-based code billed without sufficient time documentation
- Session length not clearly recorded in notes
How to Resolve or Appeal
- Ensure time-based documentation clearly states start/stop times or total minutes
- Appeal with corrected documentation if the time was genuinely met
Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.