Reason Code W7070 - JE Part A
Reason Code W7070
Reason Code Narrative
CA MODIFIER REQUIRES PATIENT STATUS CODE 20.
Common Reason Code Errors
- Modifier CA has been listed on claim and patient status 20 (expired) is not present
Common Reason Code Corrections
- Verify codes billed are correct for procedures billed. If modifier CA is appropriate, then patient status in FL 17 must be reflected as 20
- CMS Definitions of Medicare Code Edits
- CMS Integrated Outpatient Code Editor (IOCE)
- CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual Chapter 4, Section 180.7
View reason code list, return to Reason Code Guidance page.
Last Updated Mon, 16 Jan 2023 18:21:56 +0000