05/22/2026
Denied under CO 97 vs CO 197 โ Whatโs the Difference? ๐ค
Many healthcare providers get confused between CO 97 and CO 197 denial codes, but understanding the difference is essential for faster reimbursements and fewer claim rejections.
๐น **CO 97** โ Payment adjusted because the service is included in another billed service/procedure already paid for.
๐น **CO 197** โ Payment denied due to authorization or precertification issues, or because the service was not deemed medically necessary under payer guidelines.
Knowing how to identify and resolve these denials can help reduce revenue loss and improve your billing workflow.
Need expert assistance with denial management and medical billing solutions?
๐ +1 (346) 390-3545
๐ง [info@revixalign.com](mailto:info@revixalign.com)