Reason Code W7007

Reason Code Narrative

PROCEDURE AND AGE CONFLICT

Common Reason Code Errors

  • One of procedure codes listed in UB04 FL 74 A-E or electronic equivalent is not compatible with birth date of patient listed in UB04 FL 10
  • One of procedure codes listed in UB04 FL 74-A-E or electronic equivalent is not is not compatible with birth date of patient for date of service being billed

Common Reason Code Corrections

  • Verify procedure codes being billed are valid and compatible with age of patient for date of service. Verify date of birth is listed correctly. Once corrected, resubmit claim. Providers with Direct Data Entry (DDE) can PF9 claim once corrections are made

Resources

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

Last Updated May 22, 2018