CO-97Contractual Adjustment
Service bundled into another payment
What this code means
The insurer says this service is already included in the payment for a different service billed at the same time. You cannot be paid separately for it.
What to do next
Ask your provider to verify the bundling rules for these procedure codes. If the services were genuinely separate and distinct, your provider may be able to resubmit with a modifier indicating they should be billed separately.
Recommended tool
Bill Advantage can analyze your denial and generate a ready-to-send appeal or dispute letter in minutes.
Open Medical Bill Analyzer