C4Condition CodeQIO Approval
A QIO denied the admission on this claim.
Related QIO Approval codes
C1A Quality Improvement Organization approved this claim exactly as billed.C2This claim was automatically approved through a QIO's focused review process.C3A QIO partially approved this claim.C5This claim is subject to QIO post-payment review.C6This service was pre-authorized, but hasn't yet been reviewed by the QIO.C7This extended authorization hasn't yet been reviewed by the QIO.
Frequently asked questions
What does condition code C4 mean?
A QIO denied the admission on this claim.
What category is condition code C4 in?
C4 falls under the QIO Approval category of UB-04 condition codes.
Descriptions sourced from CMS Medicare Claims Processing Manual. Always verify codes with authoritative sources before making billing decisions.