835 Denial Combination
CO-167+N362
Contractual Obligation · Claim-Level Adjustment
What This Combination Means
The diagnosis version submitted is incorrect — the ICD version (e.g., ICD-9 vs. ICD-10) does not match what the payer requires for the claim date.
95%
Appeal Success
3-7 days
Avg. Resolution
Easy
Difficulty
Yes
Appealable
Step-by-Step Resolution
Steps tailored specifically to this CO-167+N362 combination — not generic advice.
- 1
Confirm the payer requires ICD-10 codes for all dates of service on or after October 1, 2015.
- 2
Resubmit with the correct ICD-10 diagnosis code.
- 3
Update your billing system to ensure ICD-10 codes are used for all applicable claims.
Specialty Context
How CO-167+N362 typically presents across different practice types.
Dental
Verify the diagnosis version submitted is incorrect — the icd version (e per your dental plan contract and documentation requirements.
Medical
Confirm the diagnosis version submitted is incorrect — the icd version (e against payer policy and submit corrected claim as needed.
Behavioral Health
Apply behavioral health parity rules and confirm the diagnosis version submitted is incorrect — the icd version (e per MHPAEA standards.
Individual Code References
View the standalone definition for each code in this combination.
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