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CO-269 - Denial Journal
CARC

CO-269

What This Code Means

Anesthesia not covered for this service/procedure.

Common Causes

  • Service falls under a specific plan exclusion
  • Benefit maximum or occurrence limit already reached
  • Wrong plan or benefit category billed

How to Resolve or Appeal

  1. Confirm the specific exclusion or limit that applies with the payer
  2. Check for secondary coverage that may pick up the balance
  3. Bill the patient per financial policy if the exclusion is confirmed accurate

Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.

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