CO-67 Denial Code Explained
CO-67 is a medical billing denial code that indicates the service was denied because the payer considers the treatment not separately reimbursable under bundled payment policies.
DENIAL CODE
3/7/20221 min read
CO-67 Denial Code Explained
CO-67 is a medical billing denial code that indicates the service was denied because the payer considers the treatment not separately reimbursable under bundled payment policies.
What Does CO-67 Mean?
The CO-67 denial code means the insurance payer considers the billed procedure included within another reimbursed treatment or payment arrangement.
This denial is often related to bundled billing policies or duplicate reimbursement concerns.
Common Reasons for CO-67
Bundled reimbursement policies
Included services under primary treatment
Incorrect modifier usage
Duplicate reimbursement requests
Overlapping procedures
Payer reimbursement limitations
How To Fix CO-67
Review payer bundling guidelines and verify whether the service qualifies for separate reimbursement. Providers may need corrected modifiers or supporting documentation before resubmitting the claim.
Related Denial Codes
You may also encounter:
Quick Summary
CO-67 indicates the payer considers the billed procedure included within another reimbursed service. Most denials are related to bundled billing or modifier issues.
Medical billing denial codes, insurance prefixes, and claim guidance in one searchable resource hub.
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