I have a claim that returned back to me for reason code W7072 stating to remove or update the non-billable HCPCS code(s). How can I find out which HCPCS code on my claim is non-billable?
In order to find out which HCPCS on the claim are non-billable you will need to check the Federal Register Addendum B to see which HCPC code has a status indicator of a B or M. Go to http://www.cms.gov/(external link) Click on Medicare Under Medicare Fee-for-Service Payment Click on Hospital Outpatient PPS On left side click on Addendum A and Addendum B Updates Scroll down & choose “All” in the View Items per page Click Go Click on Addendum B for the appropriate date of your claim.
In order to find out which HCPCS on the claim are non-billable you will need to check the Federal Register Addendum B to see which HCPC code has a status indicator of a B or M. Go to http://www.cms.gov/(external link) Select Medicare Under Medicare Fee-for-Service Payment Select Hospital Outpatient PPS On left side select Addendum A and Addendum B Updates Scroll down & choose “All” in the View Items per page Select Go Select Addendum B for the appropriate date of your claim.
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