CO-5
Procedure code/type of bill inconsistent with place of service
What This Code Means
The procedure or bill type billed doesn’t match the place-of-service code submitted.
Common Causes
- Wrong POS code entered for where the service was actually rendered
- Procedure code only valid for certain settings (e.g. facility vs. non-facility)
How to Resolve or Appeal
- Verify the correct place-of-service code for where the service occurred
- Correct and resubmit as a corrected claim
More Denial Codes to Check
Educational reference only — not medical or legal advice. Always confirm code usage and appeal rights with the specific payer.