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Wiki Annual wellness visit with pneumovax

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PennyG

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Doctor provided an Annual Wellness Visit along with an Pneumonia vaccine. We billed G0402, 90732 and G0009. Medicare is telling us we need a modifier appended to procedure code G0402. Anyone have any idea which modifier should be appended? We have tried modifier 25 and they state that is inconsistent with the procedure code.
 
was the visit for annual wellness or welcome to medicare? we've never had to use a mod with the G0402, but I'm wondering since you said wellness if you meant to bill the G0438 or G0439?
 
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