Reason Code W7040 - JE Part A

Reason Code Narrative

CODE 2 OF A CODE PAIR THAT WOULD BE ALLOWED BY NCCI IF APPROPRIATE MODIFIER WERE PRESENT.

Common Reason Code Errors

• Outpatient Code Editor (OCE) has identified a comprehensive procedure reported on the same date of service.

Common Reason Code Corrections

• Review Hospital Outpatient Perspective Payment System (OPPS) National Correct Coding Initiative (NCCI) edits addendums A and B, compare the services and append a modifier, if applicable.

Resource

• CMS.gov, National Correct Coding Initiative
• National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) Edits
• Outpatient Code Editor (OCE) Quarterly Release Files

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