Healthcare Error Code
Healthcare Insurance / Medical Billing
Claim Adjustment Reason Codes (CARC)

CO-62 | Not covered for place of service

Industry
Healthcare
Canonical
/healthcare/error-codes/co-62/
Last Updated
Feb 25, 2026
Summary

This code indicates that the procedure is not covered when performed in the reported place of service.

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What This Code Means

CO-62 is used when a payer restricts coverage based on where the service was provided. Place of service affects reimbursement eligibility. This is a policy enforcement decision rather than a billing format issue. The service may be covered in a different setting under the same plan.

Where Users Usually See This Code

  • Remittance advice
  • Claim adjudication reports
  • EOB explanations

Why This Code Appears

  • Service performed in a non-covered setting
  • Place of service restrictions enforced
  • Payer location-based coverage rules

What Typically Happens Next

  • Payment is denied
  • Claim processing completes
  • Responsibility assigned per policy

What This Code Is Not

  • It is not a missing information error
  • It is not a duplicate claim
  • It is not a contractual adjustment

Troubleshooting Checklist

  • Review place of service coverage rules
  • Confirm service location details
  • Monitor payer policy updates

Notes And Edge Cases

Coverage rules may differ between outpatient, inpatient, and facility settings. Payer interpretations may change over time.

Related Codes

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