CO-62 | Not covered for place of service

Industry

Healthcare

Canonical

/insurance/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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Use these links to pivot between the directory, a focused guide, and nearby related codes.

Hub

Guides

The Complete Insurance Claim Denial Codes Directory (2026 Edition)

Related Codes

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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