CO-153
Payer deems the information submitted does not support this dosage
What This Code Means
Documentation doesn’t support the dosage of a drug or biologic billed.
Common Causes
- Units billed don't match the documented dosage administered
- Dosage exceeds typical/FDA-labeled amounts without justification
How to Resolve or Appeal
- Confirm units billed match the medical record exactly
- Appeal with dosage justification if clinically appropriate
Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.