835 Denial Combination
CO-236+N104
Contractual Obligation · Service-Line Level Adjustment
What This Combination Means
Contractual/payer-initiated reduction — the payment has been reduced per NCCI or payer code editing guidelines with remark N104 (alert: professional component already paid).
35%
Appeal Success
21-45 days
Avg. Resolution
Hard
Difficulty
Yes
Appealable
Step-by-Step Resolution
Steps tailored specifically to this CO-236+N104 combination — not generic advice.
- 1
Confirm whether the professional component was already separately reimbursed.
- 2
If not, appeal demonstrating the two services are distinct.
- 3
If correctly bundled, post the write-off.
Specialty Context
How CO-236+N104 typically presents across different practice types.
Dental
Verify contractual/payer-initiated reduction — the payment has been reduced per ncci or payer code editing guidelines with remark n104 (alert: professional component already paid) per your dental plan contract and documentation requirements.
Medical
Confirm contractual/payer-initiated reduction — the payment has been reduced per ncci or payer code editing guidelines with remark n104 (alert: professional component already paid) against payer policy and submit corrected claim as needed.
Behavioral Health
Apply behavioral health parity rules and confirm contractual/payer-initiated reduction — the payment has been reduced per ncci or payer code editing guidelines with remark n104 (alert: professional component already paid) per MHPAEA standards.
Individual Code References
View the standalone definition for each code in this combination.
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