CO-222
What This Code Means
Exceeds the contracted maximum number of hours/days/units by this provider for this period. This is not patient specific.
Common Causes
- Payer-specific processing rule or historical/administrative code
- May require payer contact for full context
How to Resolve or Appeal
- Review the payer's specific policy referenced by this code
- Contact the payer's provider services line if the reason isn't clear from the remittance
More Denial Codes to Check
Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.