Reason Code: CO-16
Error Description:
Claim/service lacks information or has submission/billing error(s)
Remark Code M51 – Missing/incomplete/invalid procedure code
Avoiding/Correcting This Error
This denial message is specific to chiropractic claims with CPT/HCPCS codes that are not billable by Medicare enrolled chiropractors.
Medicare Part B coverage for chiropractic care is limited to spinal manipulations billed with CPT codes 98940, 98941, 98942 and 98943.
Please use this Chiropractic Services job aid to ensure claims are submitted accurately for reimbursement.