• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Annual PE and new Medicare patient

Create Wiki
A

asmrekar

New
Messages
7
Location
Charlotte, NC
Best answers
0
I have a physician, family practice that wants to bill G0438 AND 99396, shouldn't it be just G0438 for the Medicare patient? Please advise. Thanks!
 
PE Coding

If it is medicare or medicare advantage plans you should bill G code. If it is a commercial insurance then the other codes will be payable. :)

Hope this helps
 
asmrekar said:
I have a physician, family practice that wants to bill G0438 AND 99396, shouldn't it be just G0438 for the Medicare patient? Please advise. Thanks!
Click to expand...

What did the provider actually do? Did he/she perform the AWV and a physical? They are two completely different services.

99396 is a non covered service for Medicare pts as the others have mentioned.
 
You must log in or register to reply here.
Top