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CO-18Usually appealable

Duplicate claim or service

What CO-18 means

The payer flagged this claim as a duplicate of one already adjudicated. Often a false positive — the same service was billed twice by mistake, or a corrected/resubmitted claim was not recognized as different from the original.

Common causes

  • The same claim was submitted more than once
  • A corrected claim was not submitted with the right frequency code
  • A bilateral or repeated service appears identical without a distinguishing modifier

How to appeal CO-18

If the denial is correct, no action is needed. If the second submission was a corrected claim, resubmit using frequency code 7 (corrected) and reference the original claim number. If services were genuinely distinct (e.g., bilateral procedures), add the appropriate modifier and document the separate services.

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