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CO-60 - Denial Journal
CARC CO — Contractual Obligation

CO-60

Outpatient services not covered within a period before/after inpatient services

What This Code Means

Charges for outpatient services aren’t separately payable because they fall within the payer’s inpatient bundling window.

Common Causes

  • Outpatient service rendered within 72 hours (or payer-defined window) before an inpatient admission
  • Related diagnosis ties the outpatient visit to the subsequent admission

How to Resolve or Appeal

  1. Confirm the payer's bundling window (often 3-day rule for Medicare)
  2. Bill as part of the inpatient claim if bundling applies

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

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