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Wiki Billing G0444 and G0442 together

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dpetersonrn

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In 2019, G0444 and G0442 could be billed together with G0439 (with proper documentation and modifiers). Now, in 2020, there is a CCI edit that states code G0444 is column 2 code for G0442 and you cannot override it. Has anyone else encountered this? If so, can you please share documentation to support this change? Thank you.
 
I do not think that CMS has to tell us or have any justification as to why they bundle two codes. I am sure you have seen many code pairs that are bundled that make no sense, but they are bundled. Medicare says that the bundle exists because G0443 is a More Extensive Procedure than G0444 and it is therefore inclusive.
 
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