CO-5: The procedure code/type of bill is inconsistent with the place of service
Insurance denies the claim with CO 5 Denial Code – If the procedure code or type of bill submitted is not consistent with the place of service where the service was provided in the submitted claim.
Steps to resolve:
We can always call to insurance company and ask rep to provide the correct POS then update it and send the corrected claim to insurance.
After reviewing, we can send the claim to coding team to review the claim, and they can make the correction if required. Claim can be submitted again as corrected claim if any changes made by coding team.
If insurance rep refuses to pay, there is always option to submit an appeal with medical records.
Remember Medicare does not accept the corrected claim, so send new claim with the changes made.
Always have the updated data of the insurance to file appeal.
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