93000 Requires modifier for 2020?

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Hello,

The physician I am billing for used the following codes:39

99214-mod 25
G0439 no modifier
93000- billed for HTN

The EKG got denied for the following reason: This procedure or procedure/modifier combination is not compatible with another procedure or procedure/modifier combination provided on the same day according to the National Correct Coding Initiative or workers compensation state regulations/ fee schedule requirements.

Does anyone have an idea how to get this paid?
 

taysin93

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G0439 ID MEDICARE AWV G CODE. IT SHOULD BE G0439 - G0468.
O/V 99214-G0467.
MEDICARE DOESNT PAY FOR 93000.
HOPE THIS HELP.
 
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For the G0439, make sure there is no diagnosis attached other than the Z00.00 and then do not attach the diagnosis Z00.00 to the office visit level either. Our practice bills this combination frequently and we are having no issues getting paid.
For example, we typically key the claim as follows:
G0439- Z00.00
99214- mod 25 - I10, R06.83, E11.9
93000 - I10
81003 - mod QW - E11.9
Hope this helps...
 
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