• 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 your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Question billing dementia as primary


Best answers
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?