what is the meaning of CO-45 : Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.

re: what is the meaning of CO-45 : Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.

It is your Contractual Obligation adjustment down to the agreed reimbursement.

re: what is the meaning of CO-45 : Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.

It means it is the facility's contractual obiligation and patient can not be billed for that amount. It should be adjusted off the patient's bill.

re: what is the meaning of CO-45 : Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.

What if you are a non-contracted facility for pain management and you receive this type of denial from BCBS? What fee schedule are they referring to?

re: what is the meaning of CO-45 : Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.

What codes are you billing exactly? We see those if we bill a procedure with an office visit without the modifier or if we bill and office visit prior to a procedure and the office visit gets paid before the procedure is processed. I think I need a little more info on what you are billing in order to help more.