Healthcare Error Code
Healthcare Insurance / Medical Billing
Common Medicaid / Commercial
CO-119 | Benefit maximum reached
Industry
Healthcare
Canonical
/healthcare/error-codes/co-119/
Last Updated
Feb 25, 2026
Summary
This code indicates that the patient has reached the maximum benefit limit for the service.
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What This Code Means
CO-119 is used when benefit limits defined by the plan have been exhausted. Benefit maximums restrict how much coverage is available within a defined period. This is a plan design feature rather than a billing error. Additional services may not be reimbursed once limits are reached.
Where Users Usually See This Code
- Remittance advice
- EOB summaries
- Benefit utilization reports
Why This Code Appears
- Annual or lifetime benefit limit reached
- Service frequency limits exceeded
- Plan utilization caps enforced
What Typically Happens Next
- Payment is denied
- Responsibility may transfer per policy
- Claim line is closed
What This Code Is Not
- It is not a documentation issue
- It is not a duplicate claim
- It is not a contractual adjustment
Troubleshooting Checklist
- □ Review benefit utilization
- □ Confirm applicable limits
- □ Monitor benefit period resets
Notes And Edge Cases
Benefit limits may reset annually. Different services may have separate limits.
Related Codes
8 links
- CO-24 CodeCharges not covered
- PR-204 CodeService not covered under patient plan
- CO-204 CodeService not covered under plan
- CO-18 CodeDuplicate claim/service
- CO-27 CodeCoverage terminated
- CO-62 CodeNot covered for place of service
- CO-97 CodeBenefit not covered
- CO-128 CodeInvalid billing modifier
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