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CO-231 - Denial Journal
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CARC

CO-231

CARC CO — Contractual Obligation Coding/Modifier
Quick Facts
Code
CO-231
Type
CARC
Category
Coding/Modifier
Status
Active

Mutually exclusive procedures cannot be done in the same day/setting

What Does This Code Mean?

NCCI edits flagged two procedures billed together as clinically mutually exclusive.

Common Causes

  • Two procedures billed that logically can't both be performed in the same encounter
  • Modifier used to bypass an edit that shouldn't be bypassed

Recommended Next Steps

  1. Review the NCCI edit table for the specific code pair
  2. Bill only the appropriate procedure, or correct coding if one was billed in error

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

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