CO-154
Payer deems the information submitted does not support this day's supply
What This Code Means
Documentation doesn’t support the days-supply quantity billed for a prescription or DME item.
Common Causes
- Days-supply field doesn't match the prescribed quantity/frequency
- Refill billed too early relative to the prior fill
How to Resolve or Appeal
- Verify the days-supply calculation against the prescription
- Correct and resubmit if it was a data entry error
Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.