Reason Code W7019

Reason Code Narrative

MUTUALLY EXCLUSIVE PROCEDURE THAT IS NOT ALLOWED, EVEN IF APPROPRIATE MODIFIER IS PRESENT.

Common Reason Code Errors

  • HCPC or CPT billed is not allowed even with an appropriate modifier when it is billed on same date of service as mutually exclusive codes

Common Reason Code Corrections

  • Verify HCPC or CPT combination being billed is correct

Resources

View reason code list, return to Reason Code Guidance page.

 

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