CO-10 Denial Code: Diagnosis Code is Inconsistent with the Patient’s gender

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CO-10 Denial Code: Diagnosis Code is Inconsistent with the Patient's gender

 

DENIAL CODE CO-10: The diagnosis code is inconsistent with the patient’s gender

Insurance will deny the claim with CO-10 denial code – The diagnosis code is inconsistent with the patient’s gender, when the diagnosis code is not compatible with the patient’s age.

Let us consider the below examples to understand CO-10 denial Code in Medical Billing.

Let us assume a female patient is diagnosed with tuberculosis of Cervix and provider performed the services. How the diagnosis codes are reported?

As we know certain diagnosis codes are there for females and some of them for males only

So the above example the correct ICD 10 diagnosis code is A18.16 – Tuberculosis of Cervix which is for females only.

Suppose if the claim billed with an incorrect diagnosis code A18.14 – Tuberculosis of Prostate which is for males only, then the claim will be denied with CO 10 denial code – The diagnosis code is inconsistent with the patient’s gender.

With the above example we come to conclusion that coding team should be very careful while coding the claims in order to avoid the above denials.

Call the insurance company claims department and ask below details for denial code CO-10:

  1. Get receive and denial date of the claim.
  2. verify which diagnosis code is inconsistent with patient’s gender
  3. Check with coding team for correct diagnosis code which is consistent with patient’s age or Patient’s gender. (If the coding team suggests correct diagnosis code, then update and resubmit the claim as corrected claim).

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