835 Denial Combination

CO-163+N433

CO

Contractual Obligation · Claim-Level Adjustment

What This Combination Means

Attachment not received — specifically an X-ray or image (N433). The claim requires radiographic evidence to support the billed procedure and no image was received by the payer.

90%

Appeal Success

7-14 days

Avg. Resolution

Easy

Difficulty

Yes

Appealable

Step-by-Step Resolution

Steps tailored specifically to this CO-163+N433 combination — not generic advice.

  1. 1

    Locate the relevant X-ray or image in your records.

  2. 2

    Confirm the image quality is diagnostic — blurry or incomplete images will be rejected again.

  3. 3

    Submit via the payer's electronic attachment portal or NEA FastAttach for dental X-rays.

  4. 4

    Label each image clearly with patient name, date taken, and claim reference number.

  5. 5

    Follow up after 10 business days to confirm adjudication has resumed.

Specialty Context

How CO-163+N433 typically presents across different practice types.

Dental

Submit periapical and/or bitewing X-rays that show the condition being treated. Images must be diagnostic quality and clearly show the affected area.

Medical

Radiology claims or procedures requiring imaging support (e.g., fracture repairs) need the imaging report or diagnostic images.

Behavioral Health

Very rare. May occur for neuropsychological testing that requires imaging documentation.

Individual Code References

View the standalone definition for each code in this combination.

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