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Question billing dementia as primary

JRae5M

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As of this month, we are experiencing a denial when billing dementia as the primary reason for the visit.
This is for CPT 90791 and CPT 90792.
Up until now, we have billed with the underlying condition first-listed followed by the dementia code. We are now being told that this is not acceptable.
Does anyone have any idea of the reason for this change with Medicare?
 
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