Denial code CO-97: Included in another service
The payment for this service is included in another service paid on the same day (bundled).
At a glance
| Code | CO-97 (group CO, reason 97) |
| Who owes it | Contractual obligation: The provider must write this off. The patient cannot be billed for it. |
| Type | Bundling / modifier |
| Worth appealing? | Usually yes, once the cause is fixed |
How to fix it
- Check NCCI edits for the two codes.
- If the services were truly separate, add modifier 25, 59 or XS/XU with documentation and send a corrected claim.
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Start free for 14 daysFrequently asked questions
What does denial code CO-97 mean?
The payment for this service is included in another service paid on the same day (bundled).
How do I fix a CO-97 denial?
1. Check NCCI edits for the two codes. 2. If the services were truly separate, add modifier 25, 59 or XS/XU with documentation and send a corrected claim.
Should I appeal a CO-97 denial?
Usually yes, or send a corrected claim. CO-97 denials are often recoverable once the cause is fixed. Check the payer's appeal deadline (often 60 to 180 days, 120 days for Medicare redeterminations).
Can I bill the patient for CO-97?
No. With group code CO the amount is not the patient's responsibility and must be written off unless it is overturned.
Plain-English summary for billing staff, not the official code text. See x12.org/codes for the official wording, and always follow the payer's own policy.