Wiki Medicare denying G0444

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eharloff

Networker
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Location
Grand Rapids, MI
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I'm in Michigan and when we do a Medicare Annual Wellness Exam, we always bill G0444-59 for reporting purposes when eligible. For some reason Medicare has denied it with CO-236 This procedure or procedure/modifier combination is not compatible with another procedure or procedure/modifier combination provided on the same day according to the NCCI or workers compensation state regulations/fee schedule requirements.

We also billed:
G0402 (no modifier)
90670
90662
G0009
G0008
G0444
G8510
3288F
3017F:8P

Am I missing a modifier on the administration codes? I've never ever had to use a modifier besides modifier 59 on G0444 with any other procedure codes. If anybody has any insight or advice, please let me know. I also tried resubmitting G0444 with 51.

Thanks in advance,

Liz
 
eharloff said:
I'm in Michigan and when we do a Medicare Annual Wellness Exam, we always bill G0444-59 for reporting purposes when eligible. For some reason Medicare has denied it with CO-236 This procedure or procedure/modifier combination is not compatible with another procedure or procedure/modifier combination provided on the same day according to the NCCI or workers compensation state regulations/fee schedule requirements.

We also billed:
G0402 (no modifier)
90670
90662
G0009
G0008
G0444
G8510
3288F
3017F:8P

Am I missing a modifier on the administration codes? I've never ever had to use a modifier besides modifier 59 on G0444 with any other procedure codes. If anybody has any insight or advice, please let me know. I also tried resubmitting G0444 with 51.

Thanks in advance,

Liz
Click to expand...
CPT G0444 is a column two code to CPT G0402 and therefore will never be paid by Medicare.

All the best,
 
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