Reason Code W7088

Published 12/16/2019

Description
FQHC PPS TOB 77X is submitted and at least one of the specific payment HCPCS codes (G0466, G0467, G0468, G0469 or G0470) is not present.

Resolution
Verify billing instructions in CR8743 and add appropriate HCPCS code(s). F9 claim or resubmit.


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