Reason Code W7001

Reason Code Narrative

THE DIAGNOSIS CODE ON THIS CLAIM IS INVALID. PLEASE VERIFY BILLING AND IF APPROPRIATE, CORRECT.

Common Reason Code Errors

  • One of diagnosis code listed in UB04 FL 66–69 or electronic equivalent is not valid.
  • One of diagnosis code listed in UB04 FL 66–69 or electronic equivalent is not valid for date of service being billed.
  • One of diagnosis code listed in UB04 FL 66–69 or electronic equivalent is not left justified.

Common Reason Code Corrections

  • Verify that diagnosis codes being billed are valid for date of service. Verify that they are left justified and resubmit claim. Providers with Direct Data Entry (DDE) can PF9 the claim once corrections are made.

Resources

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

 

Last Updated Thu, 27 Feb 2020 14:54:36 +0000