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Last Modified: 10/6/2022 Location: FL, PR, USVI Business: Part A

RTP code W7088 FAQ

Q: We are receiving RTP code W7088, what steps can we take to avoid this reason code?
Refer to the Part A reason code lookup for a description associated with the Medicare Part A reason code(s). Enter a valid reason code into the box and click the submit button.
A: You are receiving this reason code because your claim was submitted without a specific HCPCS payment code, G0466, G0467, G0468, G0469, or G0470.
Federally qualified health centers (FQHC) shall use a specific HCPCS payment code when submitting a claim for FQHC services payable under the FQHC prospective payment system. Review and make corrections to your claim and resubmit.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.