835 Denial Combination
CO-45+N88
Contractual Obligation · Service-Line Level Adjustment
What This Combination Means
Payment was made for this claim conditionally because an HHA episode of care has been filed for this patient.
N/A
Appeal Success
7-14 days
Avg. Resolution
Medium
Difficulty
No
Appealable
Step-by-Step Resolution
Steps tailored specifically to this CO-45+N88 combination — not generic advice.
- 1
Payment may be recouped if it is established that the patient concurrently receives treatment under an HHA episode of care because of the consolidated billing requirements
Specialty Context
How CO-45+N88 typically presents across different practice types.
Dental
Medical
Behavioral Health
Individual Code References
View the standalone definition for each code in this combination.
Medicare Contractor Guidance for CARC 45
NoridianPayment was made for this claim conditionally because an HHA episode of care has been filed for this patient.
How to Prevent CARC 45 Denials
- ✓
Ensure eligibility is verified in the Noridian Medicare Portal for Home Health Episode History (HHEH)
- ✓
Utilize the Consolidated Billing Tool on the Noridian Medicare website to inquire on items covered in a HHA episode of care, prior to providing
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