C5Condition CodeQIO Approval
This claim is subject to QIO post-payment review.
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.C4A QIO denied the admission on this claim.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 C5 mean?
This claim is subject to QIO post-payment review.
What category is condition code C5 in?
C5 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.