835 Denial Combination
CO-176+N115
Contractual Obligation · Service-Line Level Adjustment
What This Combination Means
A recent break in medical need 13/15 months have been paid Same and Similar equipment on file
N/A
Appeal Success
7-14 days
Avg. Resolution
Medium
Difficulty
No
Appealable
Step-by-Step Resolution
Steps tailored specifically to this CO-176+N115 combination — not generic advice.
- 1
Submit an Redeterminations/Appeals with all documentation to support medical need and indicate on appeal/redetermination explanation that there was a break medical need
Specialty Context
How CO-176+N115 typically presents across different practice types.
Dental
Medical
Behavioral Health
Individual Code References
View the standalone definition for each code in this combination.
Medicare Contractor Guidance for CARC 176
NoridianA recent break in medical need 13/15 months have been paid Same and Similar equipment on file
How to Prevent CARC 176 Denials
- ✓
If a break in medical need, submit initial claim with a narrative BIN (break in need)
- ✓
The Noridian Medicare Portal can be accessed under Same or Similar to verify number of rental payments or similar equipment on file or call the Noridian Interactive Voice Response (IVR) System for that information
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