Wiki HCPCS code G0513 & G0514

[cwestman]

I'm wondering if anyone is using either code with Preventative visits .Often the Medicare wellness visit is time consuming with all the elements required .
Are these codes considered Add on codes?
Do Medicare advantage plans reimburse for this service ?
I realize they are time based and perhaps used for educating,coordinating care with specialist or other agencies.Would this be used for face to face with Provider or clinical staff in general?
Thank you in advance

 

[Pathos]

Those two codes are "new" and was made available 1/1/2018. Our practice has not yet used or implemented these codes, so I cannot speak for coverage.

However, looking at the codes they do seem like "add-on" codes, meaning you cannot bill them by themselves. Additionally, in order to bill G0514, G0513 must also be billed on the same claim "list separately in addition to code g0513 for additional 30 minutes of preventive service".

Hope this guides you somewhat.

 

[cwestman]

Thank you!