Reason Code: W7088

Error Description:

FQHC PPS claim received a line level error due to no payment code billed.

Avoiding/Correcting This Error

Each FQHC PPS claim must be billed with a qualifying visit code, and associated line-item charges, along with all other FQHC services furnished during the encounter. A qualifying visit code is the code that qualifies the service for an encounter-based payment.  Payment codes include codes G0466‒G0470.

Related Content

• FQHC List of Qualifying Visit Codes
• Federally Qualified Health Centers (FQHC) Center
• CMS Internet-Only Manual 100-04, Medicare Claims Processing Manual, Chapter 9 - Rural Health Clinics/Federally Qualified Health Centers