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CPT codes, descriptions and other data only are copyright 2002-2020 American Medical Association (AMA). Denial code CO16 is a "Contractual Obligation" claim adjustment reason code (CARC). The ADA does not directly or indirectly practice medicine or dispense dental services. The date of death precedes the date of service. Successful exploitation of these vulnerabilities may allow an attacker to cause a denial-of-service condition or remotely exploit arbitrary code. Resubmit claim with a valid ordering physician NPI registered in PECOS. SpecialityAllergy & ImmunologyAnesthesiologyChiropracticDurable Medical EquipmentGastroenterologyInternal MedicineMental HealthOccupational HealthOral and MaxilofacialPain ManagementPharmacy BillingPodiatryRadiation OncologyRheumatologySports MedicineWound CareAmbulance TransportationBehavioural HealthDentalEmergency Medicine BillingGeneral SurgeryMassage TherapyNeurologyOncologyOrthopaedicPathologyPhysical TherapyPrimary CareRadiologySkilled Nursing FacilityTeleradiologyAmbulatory Surgical CentersCardiologyDermatologyFamily PracticeHospital BillingMedical BillingOB GYNOptometryOtolaryngologyPaediatricsPlastic SurgeryPulmonologyRehab BillingSleep DisorderUrology, StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhodeIslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming. These Group Codes are combined with Claim Adjustment Reason Codes that can be numeric or alpha-numeric, ranging from 1 to W2. PR 27 denial code description - expenses incurred after patient's insurance coverage terminated. Users must adhere to CMS Information Security Policies, Standards, and Procedures. Reason Code 16 | Remark Codes MA13 N265 N276 Common Reasons for Denial Item (s) billed did not have a valid ordering physician National Provider Identifier (NPI) registered in Medicare Provider Enrollment, Chain and Ownership System (PECOS) Next Step Resubmit claim with a valid ordering physician NPI registered in PECOS How to Avoid Future Denials Discount agreed to in Preferred Provider contract. Patient payment option/election not in effect. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service. This provider was not certified/eligible to be paid for this procedure/service on this date of service. The AMA is a third-party beneficiary to this license. Applications are available at the American Dental Association web site, http://www.ADA.org. There are times in which the various content contributor primary resources are not synchronized or updated on the same time interval. 2 Services prior to auth start The services were provided before the authorization was effective and are not covered benefits under this