Wiki 10060 - billing the G0439

[TMB1965]

When billing the G0439 with the 10060 wouldn't I need a modifier?

 

[thomas7331]

No modifier is required according to the current CCI tables.

 

[TMB1965]

That is what I read too, but Medicare is denying this with the dx code 706.2 as not being medically necessary, but this dx code is a supported code.

 

[Leenahz]

That is what I read too, but Medicare is denying this with the dx code 706.2 as not being medically necessary, but this dx code is a supported code.

Hi tmr,

When I used to code this to Medicare, we would get the same rejection reason. When it comes to skin procedures, Medicare is very particular. You may have to submit a first level of appeal, which I believe is a redetermination form attached with supporting medical records stating the procedure was indeed medically necessary, and not cosmetic.

Lena

 

[lgardner]

When billing the G0439 with the 10060 wouldn't I need a modifier?

in our practice, we add a -25 mod to the G0439.