Denial Reason, Reason/Remark Code(s)
- CO-18 - Duplicate Service(s): Same service submitted for the same patient
Resolution/Resources
First: Verify the status of your claim before resubmitting. You can determine the status of a claim by calling the Palmetto GBA Interactive Voice Response Unit (IVR)
- Jurisduction 1: (866) 931-3903
- Ohio and West Virginia: (877) 567-9232.
- South Carolina: (866) 238-9654
In most cases, multiple E/M services that are performed on a single date by the same provider must be combined and submitted as a single service.
- We strongly encourage all providers and their staff members to become familiar with the E/M Documentation Guidelines, which were developed jointly by CMS and the American Medical Association
- Take advantage of free training offered by Palmetto GBA clinical education staff to learn more about how to understand and apply the E/M Documentation Guidelines. To view a list of upcoming workshops, click on the events button from the Web site of your location:
- Consider using a standardized 'scoring tool' for consistency in applying the E/M Documentation Guidelines. Palmetto GBA publishes one such tool on our Web site, although there are many others from which to choose.
- To access E/M Documentation Guidelines, access the CMS Web site