Provider/Supplier Type(s) Impacted: Outpatient TOB

Reason Codes: W7009

Claim Coding Impact: HCPCS codes 0051A, 0052A, 0053A, 0054A, and 91305

Description of Issue: Claims with HCPCS codes 0051A, 0052A, 0053A, 0054A, and 91305 are processing and denying with Reason Code W7009 in error.

Noridian Action Required: Noridian has updated processing to apply the correct coding to the claim.

Provider/Supplier Action Required: No action is required at this time.

Proposed Resolution/Solution: Noridian will reprocess the claims that were denied incorrectly with W7009, with the above HCPCS codes listed.

03/15/22 - Noridian has initiated the mass adjustments.

Date Reported: 02/24/22

Date Resolved: 03/15/22