Reason Code W7031

Reason Code Narrative

PARTIAL HOSPITALIZATION ON THE SAME DAY AS ELECTORCONVULSIVE THERAPY OR SIGNIFICANT PROCEDURE.

Common Reason Code Errors

  • Partial Hospitalization Program (PHP) services have been billed on same day as CPT 90871 for multiple seizures in one day
  • PHP services billed on same day as a significant procedure

Note: Significant procedures are those with an Outpatient Code Editor (OCE) flag of an "S" or "T."

Common Reason Code Corrections

  • Verify PHP has not been billed on same day as CPT 90871
  • Verify PHP services have not been billed on same day as a significant procedure

Resources

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

Last Updated May 22, 2018