Reason Code W7030

Reason Code Narrative

INSUFFICIENT SERVICES ON DAY OF PARTIAL HOSPITALIZATION.

Common Reason Code Errors

  • Claim is lacking required number of services to qualify for Partial Hospitalization Program (PHP)
  • PHP services were not performed on same date of service

Common Reason Code Corrections

  • Check number of units billed on each line item
  • Verify required numbers of services were provided to meet definition of PHP
  • Verify all services were provided on same date of service

Resources

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

Last Updated May 22, 2018