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Orthopedic Coding Alert

READER QUESTIONS:

Medicaid Might Want G0283, Not 97014

Published on Sun Sep 27, 2009

Question: Medicaid is denying our claims with CPT 97014 . Can you suggest why that might be happening? Georgia Subscriber Answer: You might be submitting an incorrect code. Medicare and Medicare HMOs require G0283 (Electrical stimulation [unattended], to one or more areas for indication[ s] other than wound care, as part of a therapy plan of care) instead of 97014 (Application of a modality to 1 or more areas; electrical stimulation [unattended]). Your Medicaid carrier might also follow this guideline, so call your local representative to ask if that's the case.
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