Outpatient Claims with Reason Code W7120 Returned in Error

A system error caused the CMS to return the following outpatient claims with reason code W7120:

• Bill types 13X and 85X
• Designated surgical ranges 10000-69999 or 0000T-9999T
• Modifier PT

We’re bypassing reason code W7120 for these claims until we correct the issue in the July 2022 Integrated Outpatient Code Editor update. Resubmit claims that we returned in error.  

Reference: MLN Connects® Newsletter for Thursday, May 5, 2022

Posted 5/12/2022